Provider Demographics
NPI:1376855221
Name:TJC HEALTHCARE, P.C.
Entity Type:Organization
Organization Name:TJC HEALTHCARE, P.C.
Other - Org Name:BESHEL CHIROPRACTIC CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:BESHEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:336-227-6000
Mailing Address - Street 1:PO BOX 365
Mailing Address - Street 2:
Mailing Address - City:ELON
Mailing Address - State:NC
Mailing Address - Zip Code:27244-0365
Mailing Address - Country:US
Mailing Address - Phone:336-227-6000
Mailing Address - Fax:336-227-6097
Practice Address - Street 1:202 S MAIN ST
Practice Address - Street 2:UNIT K
Practice Address - City:GRAHAM
Practice Address - State:NC
Practice Address - Zip Code:27253-3372
Practice Address - Country:US
Practice Address - Phone:336-227-6000
Practice Address - Fax:336-227-6097
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-08
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4078111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty