Healthcare Provider Details

I. General information

NPI: 1093687154
Provider Name (Legal Business Name): MR. JAMES LOUIS CHAPMAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/19/2025
Last Update Date: 09/19/2025
Certification Date: 09/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5889 CEDAR ST APT 102
FERNDALE WA
98248-9301
US

IV. Provider business mailing address

5889 CEDAR ST APT 102
FERNDALE WA
98248-9301
US

V. Phone/Fax

Practice location:
  • Phone: 216-534-6706
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code242T00000X
TaxonomyPerfusionist
License Number189121
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: