Chaffee, Jon
Chaffee, Jon is an sole proprietor health care provider with primary practice located at 301 Victoria St , Costa Mesa CA 92627. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Chaffee, Jon can be contacted via phone (951) 244-4147.Contact Information
Primary practice address
301 Victoria St
Costa Mesa CA 92627
Phone: (951) 244-4147
Fax: (951) 244-0747
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | G69373 | California |
Profile Details
| NPI number | 1881761203 |
|---|---|
| LBN Legal business name | Chaffee, Jon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Jun 5th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881761203 | NPPES |
| California | MEDICAID | 00G693732 |
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