JCC LLC
Chiropractor · Phoenix, MD
Practice location
14307 Jarrettsville PikePhoenix, MD 21131-1763
- Phone
- (410) 592-7300
- Fax
- (410) 666-0348
NPI record
- NPI
- 1649448374
- Entity type
- Organization (Type 2)
- Enumeration date
- February 15, 2008
- Last updated
- February 15, 2008
- Organization subpart
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor Primary | 111N00000X |
S01332 | MD |
Mailing address
PO Box 3814307 Jarrettsville Pike
Phoenix, MD 21131-0038
- Phone
- (410) 592-7300
- Fax
- (410) 666-0348
Authorized official
- Name
- Dr. Daniel Thomas Wise, D.C.
- Title
- Doctor/Owner
- Phone
- (410) 592-7300
Other names
- Jacksonville Chiropractic Center
About JCC LLC
JCC LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 14307 Jarrettsville Pike, Phoenix, MD 21131-1763. The NPI number 1649448374 was assigned on February 15, 2008 and the record was last updated on February 15, 2008.
JCC LLC lists a license in the registry: #S01332 (MD) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.
The authorized official for this organization is Dr. Daniel Thomas Wise, D.C., Doctor/Owner.
Frequently asked questions
What is the NPI number of JCC LLC?
The NPI number is 1649448374.
What is the phone number of JCC LLC?
The phone number listed for the practice location is (410) 592-7300.
Where is JCC LLC located?
14307 Jarrettsville Pike, Phoenix, MD 21131-1763.
What is the taxonomy code for JCC LLC?
The primary taxonomy code is 111N00000X – Chiropractor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
Other Chiropractor providers in Phoenix
- Maria Yiassemides, D.C.3421 Sweet Air Rd
- Daniel Thomas Wise, D.C.14307 Jarrettsville Pike
- Dr. Maria Yiassemides, P.A.3421 Sweet Air Rd