Provider Demographics
NPI:1053516591
Name:JAFFE FINN, JENNIFER (DC)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:JAFFE FINN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 GREENWOOD AVE
Mailing Address - Street 2:UNIT #2
Mailing Address - City:CLARKS SUMMIT
Mailing Address - State:PA
Mailing Address - Zip Code:18411-8708
Mailing Address - Country:US
Mailing Address - Phone:570-586-3440
Mailing Address - Fax:570-586-3305
Practice Address - Street 1:203 GREENWOOD AVE
Practice Address - Street 2:UNIT #2
Practice Address - City:CLARKS SUMMIT
Practice Address - State:PA
Practice Address - Zip Code:18411-8708
Practice Address - Country:US
Practice Address - Phone:570-586-3440
Practice Address - Fax:570-586-3305
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-15
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA006802111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA036765Medicare UPIN