Individual
MR. CLIFFORD ARTHUR CHAPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
512 SKYLINE BLVD, CLOQUET, MN 55720-1199
(218) 879-4641
(218) 878-7086
Mailing address
512 SKYLINE BLVD, CLOQUET, MN 55720-1199
(218) 879-4641
(218) 878-7086
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42643
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y0072420VH03
ANTHEM
—
01
—
1009726
VTW
VT
01
—
26568
CIGNA
NH
05
—
30204411
—
NH
01
—
421750814
TAX ID
NH
01
—
5070
TRICARE
HI
01
—
68117
VT BLUE
VT
01
—
785935
MVP
VT
01
—
AA37351
HARVARD PILGRIM
—
01
—
S01Y007242NH02
NH
NH
Enumeration date
11/07/2005
Last updated
04/24/2017
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