Provider Demographics
NPI:1376785766
Name:JWTDO, LLC
Entity Type:Organization
Organization Name:JWTDO, LLC
Other - Org Name:JUST WHAT THE DOCTOR ORDERED
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MEMBER/ PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:HILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-234-2005
Mailing Address - Street 1:1603 CHAPEL HILL RD
Mailing Address - Street 2:STE 103
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-5511
Mailing Address - Country:US
Mailing Address - Phone:573-234-2005
Mailing Address - Fax:573-234-2008
Practice Address - Street 1:1603 CHAPEL HILL RD
Practice Address - Street 2:STE 103
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-5511
Practice Address - Country:US
Practice Address - Phone:573-234-2005
Practice Address - Fax:573-234-2008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-31
Last Update Date:2009-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies