Chapman, Jennifer A

Chapman, Jennifer A is an individual health care provider with primary practice located at 3030 Lake Ave Suite 24, Fort Wayne IN 46805-5428. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Chapman, Jennifer A can be contacted via phone (260) 424-8830.

Contact Information

Primary practice address
3030 Lake Ave Suite 24 Fort Wayne IN 46805-5428
Phone: (260) 424-8830
Fax: (260) 424-8868
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05007066A Indiana

Profile Details

NPI number 1184687998
LBN Legal business name Chapman, Jennifer A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jul 8th, 2007 - about 17 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 1184687998 NPPES
Indiana Other 292775 BCBS PIN #

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