1841252715 NPI number — MRS. AMY OVERTON CHAPMAN MPT

Table of content: MRS. AMY OVERTON CHAPMAN MPT (NPI 1841252715)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1841252715 NPI number — MRS. AMY OVERTON CHAPMAN MPT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHAPMAN
Provider First Name:
AMY
Provider Middle Name:
OVERTON
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
MPT
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1841252715
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 681478
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
FRANKLIN
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
37068-1478
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
866-800-9147
Provider Business Mailing Address Fax Number:
615-591-6601

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2339 HILLSBORO ROAD
Provider Second Line Business Practice Location Address:
101
Provider Business Practice Location Address City Name:
FRANKLIN
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
37069
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-261-0245
Provider Business Practice Location Address Fax Number:
615-261-0255
Provider Enumeration Date:
04/05/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 225100000X , with the licence number:  6814 , registered in the state of TN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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