Provider Demographics
NPI:1922345230
Name:JCMT ENTERPRISES LLC
Entity Type:Organization
Organization Name:JCMT ENTERPRISES LLC
Other - Org Name:MASON FAMILY CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER/MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:COE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-469-4411
Mailing Address - Street 1:PO BOX 131
Mailing Address - Street 2:
Mailing Address - City:KINGS MILLS
Mailing Address - State:OH
Mailing Address - Zip Code:45034-0131
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6499 S MASON MONTGOMERY RD
Practice Address - Street 2:SUITE D
Practice Address - City:MASON
Practice Address - State:OH
Practice Address - Zip Code:45040-1764
Practice Address - Country:US
Practice Address - Phone:330-469-4411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-07
Last Update Date:2013-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4242111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty