Provider Demographics
NPI:1881752483
Name:J & J SERVICES INC
Entity type:Organization
Organization Name:J & J SERVICES INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:CORDELL
Authorized Official - Last Name:SCHROEDER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:509-665-9518
Mailing Address - Street 1:18 N WORTHEN
Mailing Address - Street 2:STE 100
Mailing Address - City:WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98801-6137
Mailing Address - Country:US
Mailing Address - Phone:509-665-9518
Mailing Address - Fax:509-662-1607
Practice Address - Street 1:18 N WORTHEN
Practice Address - Street 2:STE 100
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-6137
Practice Address - Country:US
Practice Address - Phone:509-665-9518
Practice Address - Fax:509-662-1607
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2007-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003389111N00000X
WAMA00017842225700000X
WACH00002355111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0124506Medicaid
WAGBA17417Medicare ID - Type Unspecified