Provider Demographics
NPI:1528050556
Name:CHAPIN, NANCY LYNN (MD)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:LYNN
Last Name:CHAPIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 DEW LN
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MA
Mailing Address - Zip Code:02021-1745
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:370 OAK ST
Practice Address - Street 2:SUITE A
Practice Address - City:BROCKTON
Practice Address - State:MA
Practice Address - Zip Code:02301-1341
Practice Address - Country:US
Practice Address - Phone:508-584-1234
Practice Address - Fax:508-584-0230
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA56753208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA20194OtherHARVARD PILGRIM
MA3018938Medicaid
MA12-01056OtherUNITED HEALTH CARE
MAJ06253OtherBLUE CROSS BLUE SHIELD
MA056753OtherTUFTS HEALTH PLAN
MA92437OtherAETNA/USHC
MA3297007OtherCIGNA
MA3297007OtherCIGNA