Provider Demographics
NPI:1538587837
Name:CHAPMAN, CALVIN
Entity type:Individual
Prefix:
First Name:CALVIN
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 WILSON AVE
Mailing Address - Street 2:APT. 8
Mailing Address - City:POTEAU
Mailing Address - State:OK
Mailing Address - Zip Code:74953-3212
Mailing Address - Country:US
Mailing Address - Phone:919-268-7949
Mailing Address - Fax:
Practice Address - Street 1:108 WILSON AVE
Practice Address - Street 2:APT. 8
Practice Address - City:POTEAU
Practice Address - State:OK
Practice Address - Zip Code:74953-3212
Practice Address - Country:US
Practice Address - Phone:919-268-7949
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-03
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker