Provider Demographics
NPI:1083879191
Name:CHAPIN, JENNIFER GRACE (LAC, CZB, CYT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:GRACE
Last Name:CHAPIN
Suffix:
Gender:F
Credentials:LAC, CZB, CYT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 MAIN ST
Mailing Address - Street 2:STE. 203
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-3262
Mailing Address - Country:US
Mailing Address - Phone:413-522-3816
Mailing Address - Fax:
Practice Address - Street 1:277 MAIN ST
Practice Address - Street 2:STE. 203
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-3262
Practice Address - Country:US
Practice Address - Phone:413-522-3816
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-29
Last Update Date:2008-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA202413171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist