MEDICARE: DR. DALE A CHAPMAN DO

Medicare Provider Information

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	R8J39	MO
2	207Q00000X	Family Medicine Physician	DO-05542	IA
3	207R00000X	Internal Medicine Physician	R8J39	MO

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	00719016	OTHER	MO	BLUE CROSS BLUE SHIELD OF KC
2	0100912	OTHER	MO	UNITED HEALTHCARE PIN
3	010047292	OTHER	MO	PALMETTO GBA
4	4649395	OTHER	MO	AETNA PIN
5	212202	OTHER	MO	HEALTHLINK PIN
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	E69550	OTHER	MO	MERCY HEALTH PLANS PIN

NPI Number	:	1346205010
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DALE A CHAPMAN DO

Provider Business Mailing Address
First Line	:	600 1ST ST NW STE 101
Second Line	:
City	:	MASON CITY
State	:	IA
Zip	:	50401-2932
Country	:	US
Telephone Number	:	641-394-2151
Fax Number	:	641-394-1999

Provider Business Practice Location Address
First Line	:	308 N MAPLE AVE
Second Line	:
City	:	NEW HAMPTON
State	:	IA
Zip	:	50659-1142
Country	:	US
Telephone Number	:	641-392-2151
Fax Number	:	641-394-1999

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

Provider Enumeration Date	:	04/18/2006
Last Update Date	:	07/07/2020

308 N MAPLE AVE , STE ER
NEW HAMPTON, IA
50659-1142

Practice Phone: 641-394-4121
Practice Fax: