Individual
COLLEEN R CHAPPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
250 FLAT ROCK PL, 2ND FL, WESTBROOK, CT 06498-1565
(860) 664-3553
(860) 358-8656
Mailing address
28 CRESCENT ST, MIDDLETOWN, CT 06457-3654
(860) 358-4820
(860) 358-8661
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002730
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002730
CT PA LICENSE
CT
Enumeration date
04/03/2012
Last updated
04/12/2017
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