Individual
EUGENE E CHAPEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1200 N WEST AVE, SUITE 300, JACKSON, MI 49202-2179
(517) 789-1234
(517) 784-7040
Mailing address
1200 N WEST AVE, SUITE 300, JACKSON, MI 49202-2179
(517) 789-1234
(517) 784-7040
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
4704195450
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4704195450
RN LICENSE
MI
Enumeration date
03/05/2010
Last updated
03/05/2010
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