MEDICARE: JSC GROUP, LLC

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	:	1912472861
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JSC GROUP, LLC

Provider Business Mailing Address
First Line	:	202 FIELDING LEWIS DR
Second Line	:
City	:	YORKTOWN
State	:	VA
Zip	:	23692-2808
Country	:	US
Telephone Number	:	757-753-4700
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 HAMPTON HWY
Second Line	:
City	:	YORKTOWN
State	:	VA
Zip	:	23693-3510
Country	:	US
Telephone Number	:	757-867-1061
Fax Number	:	757-282-2995

Authorized Official
Title or Position	:	OWNER
Name	:	JOEL CHEEK
Credential	:	DC
Telephone Number	:	757-753-4700

Provider Enumeration Date	:	10/08/2018
Last Update Date	:	08/22/2023

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Directions to “JSC GROUP, LLC ” Practice Location

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