MEDICARE: JILL D CHAPMAN CHIROPRACTIC APC

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	DC27399	CA

General Provider Information

NPI Number	:	1710179510
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JILL D CHAPMAN CHIROPRACTIC APC

Provider Business Mailing Address
First Line	:	410 S SANTA FE AVE STE 201
Second Line	:
City	:	VISTA
State	:	CA
Zip	:	92084-6163
Country	:	US
Telephone Number	:	760-726-4275
Fax Number	:	760-726-4278

Provider Business Practice Location Address
First Line	:	410 S SANTA FE AVE STE 201
Second Line	:
City	:	VISTA
State	:	CA
Zip	:	92084-6163
Country	:	US
Telephone Number	:	760-726-4275
Fax Number	:	760-726-4278

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. JILL DEANNE CHAPMAN
Credential	:	D.C.
Telephone Number	:	760-726-4275

Provider Enumeration Date	:	08/15/2007
Last Update Date	:	08/15/2007

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