Provider Demographics
NPI:1295804151
Name:GRIFFIN, JEFFREY L (DC)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:L
Last Name:GRIFFIN
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 1:252 W SWAMP RD STE 26
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2466
Mailing Address - Country:US
Mailing Address - Phone:215-348-2115
Mailing Address - Fax:215-230-9659
Practice Address - Street 1:252 W SWAMP RD STE 26
Practice Address - Street 2:
Practice Address - City:DOYLESTOWN
Practice Address - State:PA
Practice Address - Zip Code:18901-2466
Practice Address - Country:US
Practice Address - Phone:215-348-2115
Practice Address - Fax:215-230-9659
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2012-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC002872L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor