Provider Demographics
NPI:1477686160
Name:CHAFFIN, JAMIE CHRISTINA (DC)
Entity Type:Individual
Prefix:DR
First Name:JAMIE
Middle Name:CHRISTINA
Last Name:CHAFFIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:JAMIE
Other - Middle Name:CHRISTINA
Other - Last Name:MOLESWORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:147 S 8TH ST
Mailing Address - Street 2:PO BOX 515
Mailing Address - City:BURWELL
Mailing Address - State:NE
Mailing Address - Zip Code:68823-6003
Mailing Address - Country:US
Mailing Address - Phone:308-346-5191
Mailing Address - Fax:308-346-5191
Practice Address - Street 1:147 S 8TH ST
Practice Address - Street 2:
Practice Address - City:BURWELL
Practice Address - State:NE
Practice Address - Zip Code:68823-6003
Practice Address - Country:US
Practice Address - Phone:308-346-5191
Practice Address - Fax:308-346-5191
Is Sole Proprietor?:No
Enumeration Date:2007-03-13
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1380111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE1002597500Medicaid
NE279078Medicare PIN
NE099717Medicare PIN