MEDICARE: DR. GREGORY JAY CHAPMAN D.C.

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	111N00000X	Chiropractor	0514	MT

General Provider Information

NPI Number	:	1366505737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GREGORY JAY CHAPMAN D.C.

Provider Business Mailing Address
First Line	:	1526 S RESERVE ST
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-4756
Country	:	US
Telephone Number	:	406-721-5780
Fax Number	:	406-721-6487

Provider Business Practice Location Address
First Line	:	1526 S RESERVE ST
Second Line	:
City	:	MISSOULA
State	:	MT
Zip	:	59801-4756
Country	:	US
Telephone Number	:	406-721-5780
Fax Number	:	406-721-6487

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

Provider Enumeration Date	:	12/18/2006
Last Update Date	:	11/26/2007

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