Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | 7935 | TX |
N | 111NN1001X | Nutrition | 7935 | TX |
N | 111NS0005X | Chiropractic Sports Physician | 7935 | TX |
NPI | 1134100522 |
---|---|
Provider Name | Dr. Michael A. Chaplin |
First Address | Conroe, TX 77304-1340 |
Second Address | Montgomery, TX 77356-4446 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
608185 | BCBS (01) | TX |
U72056 | (02) | TX |