MEDICARE: DR. JAMES WALTER 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	111NS0005X	Sports Physician Chiropractor	5517	MN
2	111N00000X	Chiropractor	5517	MN

General Provider Information

NPI Number	:	1639461544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES WALTER CHAPMAN D.C.

Provider Business Mailing Address
First Line	:	2206 BLAKE AVE
Second Line	:
City	:	LESTER PRAIRIE
State	:	MN
Zip	:	55354-4506
Country	:	US
Telephone Number	:	612-709-9700
Fax Number	:

Provider Business Practice Location Address
First Line	:	2204 COMMERCE BLVD
Second Line	:
City	:	MOUND
State	:	MN
Zip	:	55364-1547
Country	:	US
Telephone Number	:	952-297-1010
Fax Number	:

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

Provider Enumeration Date	:	05/11/2011
Last Update Date	:	12/13/2022

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