Healthcare Provider Details

I. General information

NPI: 1548222540
Provider Name (Legal Business Name): JAMIE LEE DELFINE DC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1041 MORRELL AVE
CONNELLSVILLE PA
15425-3958
US

IV. Provider business mailing address

1041 MORRELL AVE
CONNELLSVILLE PA
15425-3958
US

V. Phone/Fax

Practice location:
  • Phone: 724-628-6699
  • Fax: 724-628-3830
Mailing address:
  • Phone: 724-628-6699
  • Fax: 724-628-3830

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberDC008850
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: