Chaffee Consulting, Inc. | |
9910 Dupont Circle Dr E Fort Wayne IN 46825-1617 | |
(260) 570-4515 | |
(260) 209-0762 |
Full Name | Chaffee Consulting, Inc. |
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Speciality | Social Worker |
Location | 9910 Dupont Circle Dr E, Fort Wayne, Indiana |
Authorized Official Name and Position | Courtney Elizabeth Chaffee (SOLE PROPRIETOR) |
Authorized Official Contact | 2608044544 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Chaffee Consulting, Inc. 6721 Hillsboro Ln Fort Wayne IN 46835-1824 Ph: (260) 804-4544 | Chaffee Consulting, Inc. 9910 Dupont Circle Dr E Fort Wayne IN 46825-1617 Ph: (260) 570-4515 |
NPI Number | 1780174177 |
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Provider Enumeration Date | 05/11/2018 |
Last Update Date | 05/11/2018 |
Medicare PECOS PAC ID | 9335593573 |
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Medicare Enrollment ID | O20230921003867 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780174177 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 34007666A (Indiana) | Primary |
Provider Name | Courtney E Chaffee |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265714828 PECOS PAC ID: 9032480223 Enrollment ID: I20170807001276 |
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