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Contact Information

TIMOTHY R CHAFFIN, P.O.
3025 10TH AVE S
GREAT FALLS, MT59405-3444
 Phone: 406-453-2235
 Fax: 406-771-9206
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Prosthetic/Orthotic Supplier

335E00000X 51 Medical Supply Company with Orthotist
Indicates primary specialty

NPI Profile & details for TIMOTHY R CHAFFIN · (Male)

NPI Number 1578603239
Status Active
Credentials P.O.
Entity Individual
Enumeration date 02/08/2007
Last updated 06/06/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • MT Medicaid 0005607485
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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