JCJ Wholistic Health Care, LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

BUS2012-00404 Issued in MI

Legal business name

JCJ WHOLISTIC HEALTH CARE, LLC

Practice address

18451 Heyden St
Detroit, MI 48219-3410

Phone

(313) 408-0498

Fax

(888) 900-1093

NPI assigned

Sep 18, 2012

Last updated

Sep 18, 2012By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Joseph Coleman Jr., LMT

Title

Ceo

Phone

(313) 408-0498

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1174873046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19800 HAZELHURST ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480757307",
            "telephone_number": "313-408-0498",
            "fax_number": "888-900-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18451 HEYDEN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193410",
            "telephone_number": "313-408-0498",
            "fax_number": "888-900-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCJ WHOLISTIC HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "313-408-0498",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "MI",
            "license": "BUS2012-00404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Massage Therapist in Detroit, MI
• Providers in Detroit, MI by specialty
• Massage Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.