Provider Demographics
NPI:1316288269
Name:CHAPMAN, SHEILA J (MS,RD,CSP,LD)
Entity type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:J
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:MS,RD,CSP,LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 N KEENE ST
Mailing Address - Street 2:SUITE 102 B, DC 058.00
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65201-6626
Mailing Address - Country:US
Mailing Address - Phone:573-884-7812
Mailing Address - Fax:
Practice Address - Street 1:400 N KEENE ST
Practice Address - Street 2:SUITE 102 B, DC 058.00
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65201-6626
Practice Address - Country:US
Practice Address - Phone:573-884-7812
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-01
Last Update Date:2013-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001032979M133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered