Chaffin, Timothy Roy
Chaffin, Timothy Roy is an sole proprietor health care provider with primary practice located at 3025 10Th Ave S , Great Falls MT 59405-3444. He recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as his primary health care specialty. Chaffin, Timothy Roy can be contacted via phone (406) 453-2235.Contact Information
Primary practice address
3025 10Th Ave S
Great Falls MT 59405-3444
Phone: (406) 453-2235
Fax: (406) 771-9206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Suppliers / Prosthetic/Orthotic Supplier | 335E00000X |
Profile Details
| NPI number | 1578603239 |
|---|---|
| LBN Legal business name | Chaffin, Timothy Roy |
| Credentials | P.O. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jun 6th, 2014 - about 11 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 | 1578603239 | NPPES |
| Montana | MEDICAID | 0005607485 |
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