Anthony Chapa | Valparaiso, IN • PECOS Search

Anthony Chapa

Counselor

Behavioral Health & Social Service Providers

2005 Valparaiso St, Valparaiso, IN 46383-3137

PECOS Enrollment

Based on the most recent information from CMS, provider Anthony Chapa does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1346612926
Provider Type
Individual
Full Name
Chapa, Anthony
Gender
Male

Sole Proprietor
No
Enumeration Date
10/22/2015
Last Updated
10/22/2015

Contact Information

Practice Location

2005 Valparaiso St, Valparaiso, IN 46383-3137

Unlisted Fax

Mailing Location

8604 Dewey St, Crown Point, IN 46307-9556

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer