MEDICARE: JEFFREY K CHAPMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician	41762	CO
2	2082S0099X	Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician	41762	CO
3	2082S0105X	Surgery of the Hand (Plastic Surgery) Physician	41762	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184687469
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEFFREY K CHAPMAN MD

Provider Business Mailing Address
First Line	:	2315 E HARMONY RD
Second Line	:	SUITE 160
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-8620
Country	:	US
Telephone Number	:	970-493-8800
Fax Number	:	970-498-8800

Provider Business Practice Location Address
First Line	:	2315 E HARMONY RD
Second Line	:	SUITE 160
City	:	FORT COLLINS
State	:	CO
Zip	:	80528-8620
Country	:	US
Telephone Number	:	970-493-8800
Fax Number	:	970-498-8800

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/08/2006
Last Update Date	:	06/18/2008

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