National Provider Identifier Database

960012 JJ HEALTHCARE
Family


Contact Information

960012 JJ HEALTHCARE
10046 N METRO PKWY W STE 115
PHOENIX, AZ85051-1411
Phone: 602-889-5833
Fax: 602-889-5834
Website:
Specialty Taxonomy Code
* Family 363LF0000X
Case Manager/Care Coordinator 171M00000X
Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for 960012 JJ HEALTHCARE

NPI Number 1467745687
Legal business name
LBN
960012 JJ HEALTHCARE
Authorized official JEFF JEX - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 05/20/2011
Last updated 06/03/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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