Provider Demographics
NPI:1215237284
Name:DRS. MEHAFFEY, LLC
Entity type:Organization
Organization Name:DRS. MEHAFFEY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MBR
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHAFFEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:802-343-3900
Mailing Address - Street 1:PO BOX 8106
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:VT
Mailing Address - Zip Code:05451-8106
Mailing Address - Country:US
Mailing Address - Phone:802-503-0075
Mailing Address - Fax:
Practice Address - Street 1:9 LOGWOOD CIR
Practice Address - Street 2:
Practice Address - City:ESSEX JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05452-3951
Practice Address - Country:US
Practice Address - Phone:802-503-0075
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-25
Last Update Date:2022-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty