Chapman, Jeffrey Lee

Chapman, Jeffrey Lee is an individual health care provider with primary practice located at 900 N Heritage Dr Ste E , Ridgecrest CA 93555-5537. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Chapman, Jeffrey Lee can be contacted via phone (760) 446-4571.

Contact Information

Primary practice address
900 N Heritage Dr Ste E Ridgecrest CA 93555-5537
Phone: (760) 446-4571
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA1987 Nevada

Profile Details

NPI number 1396362422
LBN Legal business name Chapman, Jeffrey Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2020
Last updated May 5th, 2021 - about 4 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 1396362422 NPPES
California Other PA59450 CALIFORNIA PHYSICIAN ASSISTANT BOARD
California Other PA1987 CALIFORNIA PHYSICIAN ASSISTANT BOARD

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