Provider Demographics
NPI:1225587579
Name:JTEK SOLUTIONS GROUP, LLC
Entity Type:Organization
Organization Name:JTEK SOLUTIONS GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:R
Authorized Official - Last Name:CHEVRAUX
Authorized Official - Suffix:
Authorized Official - Credentials:CSA, CHAMP, CEAC
Authorized Official - Phone:330-324-4318
Mailing Address - Street 1:1328 MONTER AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44641-2034
Mailing Address - Country:US
Mailing Address - Phone:330-324-4318
Mailing Address - Fax:330-875-5497
Practice Address - Street 1:1328 MONTER AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:OH
Practice Address - Zip Code:44641-2034
Practice Address - Country:US
Practice Address - Phone:330-324-4318
Practice Address - Fax:330-875-5497
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-28
Last Update Date:2016-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Multi-Specialty
No171W00000XOther Service ProvidersContractorGroup - Multi-Specialty
No171WV0202XOther Service ProvidersContractorVehicle ModificationsGroup - Multi-Specialty