Provider Demographics
NPI:1063595148
Name:CHAPMAN, MAGILI (DO)
Entity type:Individual
Prefix:DR
First Name:MAGILI
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:MAGILI
Other - Middle Name:A
Other - Last Name:CHAPMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:195 FORE RIVER PKWY STE 470
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04102-2787
Mailing Address - Country:US
Mailing Address - Phone:207-347-3164
Mailing Address - Fax:207-899-3195
Practice Address - Street 1:175 FORE RIVER PKWY
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04102-2779
Practice Address - Country:US
Practice Address - Phone:207-347-3164
Practice Address - Fax:207-899-3195
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEDO1962204D00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME432401299Medicaid
ME166147Medicare UPIN
ME2246Medicare PIN