Jcc Llc is a Chiropractor in Phoenix, Maryland. Jcc Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Jcc Llc is 1649448374. The last update date is 2008-02-15.
Jcc Llc's current location address is Po Box 38, Phoenix, Maryland. You can contact this provider via phone number 4105927300 and fax number 4106660348. The mailing address for Jcc Llc is Po Box 38, Phoenix, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jcc Llc |
|---|---|
| Address | Po Box 38, Phoenix, Maryland |
| Phone Number | 4105927300 |
| Fax Number | 4106660348 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR/OWN |
|---|---|
| Authorized Official Name | Wise Thomas Daniel |
| Credentials | D.C. |
| Telephone Number | 4105927300 |
NPI Number Detail
| NPI Number | 1649448374 |
|---|---|
| Provider Enumeration Date | 2008-02-15 |
| Last Updated Date | 2008-02-15 |
Provider Mailing Address Detail
| Address | Po Box 38 |
|---|---|
| City | Phoenix |
| State | Maryland (MD) |
| Post Code | 211310038 |
| Phone Number | 4105927300 |
| Fax Number | 4106660348 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | S01332 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Jcc Llc?
The Jcc Llc has been issued the NPI (National Provider Identifier) 1649448374 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Jcc Llc is physically located?
The Jcc Llc is situated at the following address: Po Box 38, Phoenix, MD 211310038.
What is Jcc Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Jcc Llc's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1649448374 to Jcc Llc?
The Centers for Medicare & Medicaid Services originally issued the 1649448374 to Jcc Llc on 2008-02-15.
When was the Jcc Llc's information last updated?
The Jcc Llc's information was last updated on 2008-02-15.