Charles T Jax & Associates PC

Primary specialty

Social WorkerTaxonomy code 104100000X

Legal business name

CHARLES T JAX & ASSOCIATES PC

Practice address

12200 E 13 Mile Rd
Ste 150
Warren, MI 48093-3096

Phone

(586) 751-0999

Fax

(586) 751-1703

NPI assigned

Jul 17, 2006

Last updated

Jul 21, 2010By 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

Charles T Jax, LMSW BCD ABDA SAP

Title

Pres

Phone

(586) 751-0999

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279670400000",
    "number": "1457378903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 E 13 MILE RD",
            "address_2": "STE 150",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933096",
            "telephone_number": "586-751-0999",
            "fax_number": "586-751-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 E 13 MILE RD",
            "address_2": "STE 150",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480933096",
            "telephone_number": "586-751-0999",
            "fax_number": "586-751-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES T JAX & ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2010-07-21",
        "status": "A",
        "authorized_official_last_name": "JAX",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "586-751-0999",
        "authorized_official_credential": "LMSW BCD ABDA SAP"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Adella Chantaca II
• George August Chapp
• Del Charbonier, MD
• Charles G Kissel DPM PC
• Charles G Kissel DPM PC
• Starqueatia Larhonda Charles
• Carey Charleston
• Alvarise Chatman
• Michelle Chau, FNP-BC
• Sheila Uttam Chaudhary, DDS

• Social Worker in Warren, MI
• Providers in Warren, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2010; 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.