Individual
JACK C CHAFFIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1055 N CURTIS RD, BOISE, ID 83706-1309
(208) 367-2152
Mailing address
PO BOX 9589, BOISE, ID 83707-4589
(208) 472-8109
(208) 472-8172
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
M8872
ID
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
M8872
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806728500
—
ID
Enumeration date
06/08/2006
Last updated
10/13/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us