Provider Demographics
NPI:1548458722
Name:GEORGE EDWARD CHAPPELL JR
Entity type:Organization
Organization Name:GEORGE EDWARD CHAPPELL JR
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:XRAY TECHNOLOGIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHEILA
Authorized Official - Middle Name:MCNETT
Authorized Official - Last Name:SKELTON
Authorized Official - Suffix:
Authorized Official - Credentials:RT
Authorized Official - Phone:540-434-7600
Mailing Address - Street 1:644 UNIVERSITY BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22801-3750
Mailing Address - Country:US
Mailing Address - Phone:540-434-7600
Mailing Address - Fax:540-434-9425
Practice Address - Street 1:644 UNIVERSITY BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801-3750
Practice Address - Country:US
Practice Address - Phone:540-434-7600
Practice Address - Fax:540-434-9425
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-12
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA004912OtherANTHEM
VA004912OtherANTHEM
VAB59919Medicare UPIN