Provider Demographics
NPI:1346546553
Name:JRSJ
Entity Type:Organization
Organization Name:JRSJ
Other - Org Name:JAMES RIVER JOINT & SPINE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:H
Authorized Official - Last Name:YORK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:804-551-9999
Mailing Address - Street 1:201 WYLDEROSE COMMONS
Mailing Address - Street 2:SUITE 102
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23113-6909
Mailing Address - Country:US
Mailing Address - Phone:804-551-9999
Mailing Address - Fax:804-551-9859
Practice Address - Street 1:201 WYLDEROSE COMMONS
Practice Address - Street 2:SUITE 102
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23113-6909
Practice Address - Country:US
Practice Address - Phone:804-551-9999
Practice Address - Fax:804-551-9859
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-04
Last Update Date:2016-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAH08853OtherUPIN