Individual
HOLLY M CHAPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1205 HADLEY RD STE 200, MOORESVILLE, IN 46158-1934
(317) 834-9393
(317) 834-9399
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10000882A
IN
363AM0700X
Medical Physician Assistant
99021443A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300008598
—
IN
Enumeration date
07/12/2006
Last updated
04/14/2023
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