Provider Demographics
NPI:1609186105
Name:TAFELMEYER, JENNIFER LYNN (DC)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:LYNN
Last Name:TAFELMEYER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3180 DREDGE DR
Mailing Address - Street 2:STE C
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-0561
Mailing Address - Country:US
Mailing Address - Phone:406-449-2116
Mailing Address - Fax:406-513-1027
Practice Address - Street 1:3180 DREDGE DR
Practice Address - Street 2:STE C
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602
Practice Address - Country:US
Practice Address - Phone:406-449-2116
Practice Address - Fax:406-513-1027
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-18
Last Update Date:2018-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDCHIA-1430111N00000X
MTCHI-CHI-LIC-2921111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor