Provider Demographics
NPI:1558670919
Name:JUST WHAT THE DOCTOR ORDERED INC
Entity Type:Organization
Organization Name:JUST WHAT THE DOCTOR ORDERED INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:LINNEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:660-248-1445
Mailing Address - Street 1:209 N CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:FAYETTE
Mailing Address - State:MO
Mailing Address - Zip Code:65248-1403
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:500 E LIBERTY ST
Practice Address - Street 2:
Practice Address - City:MEXICO
Practice Address - State:MO
Practice Address - Zip Code:65265-2970
Practice Address - Country:US
Practice Address - Phone:573-581-9700
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-04
Last Update Date:2011-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO625021803Medicaid
MO1308760001Medicare NSC