MEDICARE: DOCTOR J WELLNESS BRANDS PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor

General Provider Information

NPI Number	:	1225824428
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DOCTOR J WELLNESS BRANDS PLLC

Provider Business Mailing Address
First Line	:	1515 MOCKINGBIRD LN STE 7144
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-3286
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1515 MOCKINGBIRD LN STE 7144
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-3286
Country	:	US
Telephone Number	:	980-990-2616
Fax Number	:

Authorized Official
Title or Position	:	OWNER/CHIROPRACTOR
Name	:	DR. JESSE A CZAJKA
Credential	:	DC
Telephone Number	:	419-388-1253

Provider Enumeration Date	:	04/16/2025
Last Update Date	:	04/16/2025

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