Provider Demographics
NPI:1255509964
Name:LUFKIN, JESSE JAMES (DC)
Entity Type:Individual
Prefix:DR
First Name:JESSE
Middle Name:JAMES
Last Name:LUFKIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39 CHESTER ST
Mailing Address - Street 2:
Mailing Address - City:CHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03036-4308
Mailing Address - Country:US
Mailing Address - Phone:603-887-5382
Mailing Address - Fax:
Practice Address - Street 1:39 CHESTER ST
Practice Address - Street 2:
Practice Address - City:CHESTER
Practice Address - State:NH
Practice Address - Zip Code:03036-4308
Practice Address - Country:US
Practice Address - Phone:603-887-5382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-15
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH810-0208111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor