Chapman, Jack M

Chapman, Jack M is an individual health care provider with primary practice located at 2061 Beverly Rd , Gainesville GA 30501-2034. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Chapman, Jack M can be contacted via phone (770) 532-4444.

Contact Information

Primary practice address
2061 Beverly Rd Gainesville GA 30501-2034
Phone: (770) 532-4444
Fax: (770) 535-1852
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 035393 Georgia
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 200300015 North Carolina

Profile Details

NPI number 1689662751
LBN Legal business name Chapman, Jack M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2005
Last updated Aug 12th, 2015 - about 9 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689662751 NPPES
Georgia MEDICAID 00508824A
Georgia MEDICAID 5914925

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