Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | MD041902L | PA |
N | 2081P2900X | Pain Medicine | MD041902L | PA |
NPI | 1134192610 |
---|---|
Provider Name | Gregory John Chapis |
First Address | Pottstown, PA 19464-5061 |
Second Address | Pottstown, PA 19464-5061 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2006 |
Last Update Date | 05/03/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0015550380008 | (05) | PA |
F83122 | (02) | PA |