Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 41762 | CO |
Y | 208600000X | Surgeon | 41762 | CO |
N | 2082S0105X | Plastic Hand Surgeon | 41762 | CO |
NPI | 1184687469 |
---|---|
Provider Name | Jeffrey K Chapman |
First Address | Fort Collins, CO 80528-8620 |
Second Address | Fort Collins, CO 80528-8620 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2006 |
Last Update Date | 18/06/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
31322875 | (05) | CO |
E30050 | (02) | CO |