Provider Demographics
NPI:1568093797
Name:JJ BROTHERS HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:JJ BROTHERS HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:OSEI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-507-6808
Mailing Address - Street 1:24 FRONT ST # 207
Mailing Address - Street 2:
Mailing Address - City:PATASKALA
Mailing Address - State:OH
Mailing Address - Zip Code:43062-8357
Mailing Address - Country:US
Mailing Address - Phone:614-507-6808
Mailing Address - Fax:614-852-4540
Practice Address - Street 1:24 FRONT ST # 207
Practice Address - Street 2:
Practice Address - City:PATASKALA
Practice Address - State:OH
Practice Address - Zip Code:43062-8357
Practice Address - Country:US
Practice Address - Phone:614-507-6808
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-27
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty