Healthcare Provider Details

I. General information

NPI: 1467018143
Provider Name (Legal Business Name): CHAPMAN INTEGRATIVE HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2019
Last Update Date: 05/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

216 S. MAIN ST.
SPRING CITY UT
84662-0039
US

IV. Provider business mailing address

PO BOX 39
SPRING CITY UT
84662-0039
US

V. Phone/Fax

Practice location:
  • Phone: 435-813-2624
  • Fax:
Mailing address:
  • Phone: 435-813-2624
  • Fax: 435-355-3688

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0004X
TaxonomyEmergency Medical Services (Emergency Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. DANE MICHAEL CHAPMAN
Title or Position: CEO
Credential: MD
Phone: 435-813-2624