Chapman, Glen D
Chapman, Glen D is an individual health care provider with primary practice located at 102 Race Track Rd Suite 1, Ticonderoga NY 12883-4004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Chapman, Glen D can be contacted via phone (518) 585-6708.Contact Information
Primary practice address
102 Race Track Rd Suite 1
Ticonderoga NY 12883-4004
Phone: (518) 585-6708
Fax: (518) 585-3260
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 151115 | New York |
Profile Details
| NPI number | 1073527727 |
|---|---|
| LBN Legal business name | Chapman, Glen D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2006 |
| Last updated | Jan 30th, 2017 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073527727 | NPPES |
| New York | MEDICAID | 00863507 |
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