MEDICARE: DR. JILL D. 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	DC27399	CA

General Provider Information

NPI Number	:	1750387932
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JILL D. CHAPMAN D.C.

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

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

Provider Enumeration Date	:	06/22/2005
Last Update Date	:	07/08/2007

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