Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Case Manager/Care Coordinator |
171M00000X | |||
Chiropractor |
111N00000X | 35 | Chiropractic |
| NPI Number | 1467745687 |
| LBN Legal business name | 960012 JJ HEALTHCARE |
| Authorized official | JEFF JEX - (MANAGER) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 05/20/2011 |
| Last updated | 06/03/2011 - About 15 years ago |
| Identifiers | n/a |
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960012 JJ HEALTHCARE
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