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Contact Information

MICHAEL A CHIPMAN, DO
405 W JACKSON ST
CARBONDALE, IL62901-1462
 Phone: 618-549-0721
 Fax: 618-457-0469
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for MICHAEL A CHIPMAN · (Male)

NPI # 1760693899
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 05/24/2007
Last updated 02/04/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 005202
  • AZ License # R1028
  • IL License # 036.133110
  • IL License # 036133110
  • ME License # 2246
  • ME Medicaid 1760693899
  • AZ Other 005202 MEDICAL LICENSE
Hospital affiliation(s)
  • MEMORIAL HOSPITAL OF CARBONDALE - (Acute Care)
    405 W JACKSON
    CARBONDALE, IL 62902
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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