Chipman, Michael A.
Chipman, Michael A. is an individual health care provider with primary practice located at 405 W Jackson St , Carbondale IL 62901-1462. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Chipman, Michael A. can be contacted via phone (618) 549-0721.Contact Information
Primary practice address
405 W Jackson St
Carbondale IL 62901-1462
Phone: (618) 549-0721
Fax: (618) 457-0469
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 036.133110 | Illinois |
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 005202 | Arizona |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 005202 | Arizona |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 2246 | Maine |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036133110 | Illinois |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | R1028 | Arizona |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 036.133110 | Illinois |
Profile Details
| NPI number | 1760693899 |
|---|---|
| LBN Legal business name | Chipman, Michael A. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 24th, 2007 |
| Last updated | Feb 4th, 2021 - about 3 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 | 1760693899 | NPPES |
| Arizona | Other | 005202 | MEDICAL LICENSE |
| Arizona | MEDICAID | 1760693899 | MEDICAL LICENSE |
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