Jacob Petersen Chaffee in Grand Coulee - Family Medicine
Jacob Petersen Chaffee - NPI 1811983562
Jacob Petersen Chaffee is a Family Medicine in Grand Coulee, Washington. Jacob Petersen Chaffee practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Jacob Petersen Chaffee is 1811983562. The last update date is 2018-03-14.
Jacob Petersen Chaffee's current location address is 411 Fortuyn Rd, Grand Coulee, Washington. You can contact this provider via phone number 5096331753 and fax number 5096331933. The mailing address for Jacob Petersen Chaffee is 411 Fortuyn Rd, Grand Coulee, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacob Petersen Chaffee |
|---|---|
| Address | 411 Fortuyn Rd, Grand Coulee, Washington |
| Phone Number | 5096331753 |
| Fax Number | 5096331933 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1811983562 |
|---|---|
| Provider Enumeration Date | 2005-09-27 |
| Last Updated Date | 2018-03-14 |
Provider Mailing Address Detail
| Address | 411 Fortuyn Rd |
|---|---|
| City | Grand Coulee |
| State | Washington (WA) |
| Post Code | 991338718 |
| Phone Number | 5096331753 |
| Fax Number | 5096331933 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | MD00042597 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1019674 | WA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Jacob Petersen Chaffee by the Centers for Medicare & Medicaid Services?
The Jacob Petersen Chaffee has been assigned the NPI (National Provider Identifier) 1811983562 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Jacob Petersen Chaffee's facilities are geographically located?
The facilities of Jacob Petersen Chaffee are physically situated at the following location: 411 Fortuyn Rd, Grand Coulee, WA, 991338718.
What is Jacob Petersen Chaffee's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jacob Petersen Chaffee is Family Medicine, and the taxonomy code that categorizes this field of expertise is 207Q00000X.
On what date did Jacob Petersen Chaffee receive its 1811983562 assignment from the Centers for Medicare & Medicaid Services?
The Jacob Petersen Chaffee was assigned its 1811983562 on 2005-09-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Jacob Petersen Chaffee's information last updated?
The Jacob Petersen Chaffee's information was last updated on 2018-03-14.