Provider Demographics
NPI:1285600627
Name:CHAPP, JAMES ANTHONY (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:ANTHONY
Last Name:CHAPP
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9090 S RODGERS CT SE STE B
Mailing Address - Street 2:
Mailing Address - City:CALEDONIA
Mailing Address - State:MI
Mailing Address - Zip Code:49316-8052
Mailing Address - Country:US
Mailing Address - Phone:616-698-6981
Mailing Address - Fax:
Practice Address - Street 1:9090 S RODGERS CT SE STE B
Practice Address - Street 2:
Practice Address - City:CALEDONIA
Practice Address - State:MI
Practice Address - Zip Code:49316-8052
Practice Address - Country:US
Practice Address - Phone:616-698-6981
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-26
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008146111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI649492OtherUNITED HEALTH CARE ACN
MI649492OtherUNITED HEALTH CARE (ACN/UNITED GREAT WEST)
MIJC008146OtherBCBS
MI900144100OtherPRIORITY HEALTH