Provider Demographics
NPI:1093128266
Name:JPR HEALTH, INC.
Entity Type:Organization
Organization Name:JPR HEALTH, INC.
Other - Org Name:PRECISION CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:BASSO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:770-645-1880
Mailing Address - Street 1:1125 WOODSTOCK RD
Mailing Address - Street 2:SUITE 340
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-2290
Mailing Address - Country:US
Mailing Address - Phone:770-645-1880
Mailing Address - Fax:770-645-1866
Practice Address - Street 1:1125 WOODSTOCK RD
Practice Address - Street 2:SUITE 340
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-2290
Practice Address - Country:US
Practice Address - Phone:770-645-1880
Practice Address - Fax:770-645-1866
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-05
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008844111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty