Provider Demographics
NPI:1376724237
Name:JTB HEALTHCARE CONSULTING INC
Entity Type:Organization
Organization Name:JTB HEALTHCARE CONSULTING INC
Other - Org Name:EAST COLUMBUS FAMILY PRACTICE AND CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PROVIDER/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:TODD
Authorized Official - Last Name:BRITT
Authorized Official - Suffix:
Authorized Official - Credentials:DC, NP
Authorized Official - Phone:662-327-0444
Mailing Address - Street 1:2325B MARTIN LUTHER KING JR DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:MS
Mailing Address - Zip Code:39705-2640
Mailing Address - Country:US
Mailing Address - Phone:662-327-0444
Mailing Address - Fax:662-327-0474
Practice Address - Street 1:2325B MARTIN LUTHER KING JR DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:MS
Practice Address - Zip Code:39705-2640
Practice Address - Country:US
Practice Address - Phone:662-327-0444
Practice Address - Fax:662-327-0474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-20
Last Update Date:2021-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR851434363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS08103568Medicaid
MS08103568Medicaid