Provider Demographics
NPI:1821160052
Name:JPB HEALTHCARE PC
Entity Type:Organization
Organization Name:JPB HEALTHCARE PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:BESHEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:336-586-0101
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:336-586-0101
Mailing Address - Fax:336-586-0109
Practice Address - Street 1:2551 S CHURCH ST
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215-5203
Practice Address - Country:US
Practice Address - Phone:336-586-0101
Practice Address - Fax:336-586-0109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-14
Last Update Date:2014-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2769111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89014KCMedicaid
NC89014KCMedicaid