Chaffin, Jack C

Chaffin, Jack C is an individual health care provider with primary practice located at 1055 N Curtis Rd , Boise ID 83706-1309. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Chaffin, Jack C can be contacted via phone (208) 367-2152.

Contact Information

Primary practice address
1055 N Curtis Rd Boise ID 83706-1309
Phone: (208) 367-2152
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X M8872 Idaho
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X M8872 Idaho

Profile Details

NPI number 1104867662
LBN Legal business name Chaffin, Jack C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Oct 13th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104867662 NPPES
Idaho MEDICAID 806728500

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