| Chaffee Consulting, Inc. | |
|
9910 Dupont Circle Dr E Fort Wayne IN 46825-1617 | |
| (260) 570-4515 | |
| (260) 209-0762 |
| Full Name | Chaffee Consulting, Inc. |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| Provider Enumeration Date | 05/11/2018 |
| Last Update Date | 05/11/2018 |
| Medicare PECOS PAC ID | 9335593573 |
|---|---|
| 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 |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265714828 PECOS PAC ID: 9032480223 Enrollment ID: I20170807001276 |
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