Provider Demographics
NPI:1316093909
Name:CHAIN, JEFFREY (MD)
Entity type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:CHAIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7851 S ELATI ST STE 102
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-8081
Mailing Address - Country:US
Mailing Address - Phone:303-798-1309
Mailing Address - Fax:303-798-2319
Practice Address - Street 1:7851 S ELATI ST STE 102
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-8081
Practice Address - Country:US
Practice Address - Phone:303-798-1309
Practice Address - Fax:303-798-2319
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-26
Last Update Date:2021-10-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR.0046710207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology