Chappell, Thomas Mark

Chappell, Thomas Mark is an individual health care provider with primary practice located at 50 E Hospital St Suite 4A, Manning SC 29102-3149. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as his primary health care specialty. Chappell, Thomas Mark can be contacted via phone (803) 433-0797.

Contact Information

Primary practice address
50 E Hospital St Suite 4A Manning SC 29102-3149
Phone: (803) 433-0797
Fax: (803) 433-0896
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X APN1126 South Carolina

Profile Details

NPI number 1205895109
LBN Legal business name Chappell, Thomas Mark
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Mar 24th, 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 1205895109 NPPES
South Carolina MEDICAID 372048
South Carolina MEDICAID CBP031

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