Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NX0800X | Chiropractor Orthopedic Specialist | CH 1944 | MA |
NPI | 1518012152 |
---|---|
Provider Name | Dr. Scott Allison Chapman |
First Address | Norwell, MA 02061-1712 |
Second Address | Norwell, MA 02061-1712 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
Y36399 | BLUE CROSS PROVIDER ID (01) | MA |