Provider Demographics
NPI:1689842767
Name:JBS, INC
Entity Type:Organization
Organization Name:JBS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:JOAN
Authorized Official - Middle Name:S
Authorized Official - Last Name:BACON
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:610-928-3400
Mailing Address - Street 1:14 MACUNGIE AVE
Mailing Address - Street 2:
Mailing Address - City:EMMAUS
Mailing Address - State:PA
Mailing Address - Zip Code:18049-2213
Mailing Address - Country:US
Mailing Address - Phone:610-928-3400
Mailing Address - Fax:610-928-3500
Practice Address - Street 1:14 MACUNGIE AVE
Practice Address - Street 2:
Practice Address - City:EMMAUS
Practice Address - State:PA
Practice Address - Zip Code:18049-2213
Practice Address - Country:US
Practice Address - Phone:610-928-3400
Practice Address - Fax:610-928-3500
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-12
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS 007690L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty