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NPI Code Detail

MEDICARE: HOLLY JEAN CHAPMAN M.D.

MEDICARE: HOLLY JEAN CHAPMAN M.D.
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
1207L00000XAnesthesiology Physician1731AK
2207L00000XAnesthesiology PhysicianF6364TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487642609
Entity Type Code : Individual
Provider Name (Legal Business Name) : HOLLY JEAN CHAPMAN M.D.
Provider Business Mailing Address
First Line : PO BOX 202149
Second Line :
City : ANCHORAGE
State : AK
Zip : 99520-2149
Country : US
Telephone Number : 907-258-2149
Fax Number : 907-258-2147
Provider Business Practice Location Address
First Line : 2801 DEBARR RD
Second Line :
City : ANCHORAGE
State : AK
Zip : 99508-2932
Country : US
Telephone Number : 907-258-2149
Fax Number : 907-258-2147
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2005
Last Update Date : 12/13/2007

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Directions to “ HOLLY JEAN CHAPMAN M.D.” Practice Location

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