Provider Demographics
NPI:1477154466
Name:PJJ PLC
Entity Type:Organization
Organization Name:PJJ PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:JENEMA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:231-518-2000
Mailing Address - Street 1:1398 HOBBS HWY N
Mailing Address - Street 2:
Mailing Address - City:TRAVERSE CITY
Mailing Address - State:MI
Mailing Address - Zip Code:49696-9310
Mailing Address - Country:US
Mailing Address - Phone:231-631-7200
Mailing Address - Fax:
Practice Address - Street 1:215 S CEDAR ST
Practice Address - Street 2:
Practice Address - City:KALKASKA
Practice Address - State:MI
Practice Address - Zip Code:49646-8058
Practice Address - Country:US
Practice Address - Phone:231-518-5000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE CHIROPRACTIC CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-11-05
Last Update Date:2020-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty