Organization Name: | JSS CONSULTING, INC. |
NPI Number: | 1124378203 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JUSTIN STACK (PRESIDENT) |
Mailing Address: | 4140 Capitola Rd Ste. R Capitola |
State: | CA US |
Postal Code: | 950102571 |
Phone Number: | 8314989890 |
Fax Number: | 8317081333 |
NPI Enumeration Date: | 09/14/2012 |
NPI Last Update Date: | 03/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0700X |
License Number: | 7393 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Hearing and Speech |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, prescriptive, and therapy services related to congenital and acquired conditions and diseases that affect hearing capacity and speech ability. |