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Individual

NATHANIEL D CHAPMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LAT, ATC

Contact information

Practice address
4TH AVENUE AND SYCAMORE STATE, GALLIPOLIS, OH 45631
(740) 446-5244
Mailing address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5818

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
005465
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005465
OTPTAT
OH
01
336055
BOC
Enumeration date
01/15/2019
Last updated
01/15/2019
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