Provider Demographics
NPI:1710129101
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:573-642-8200
Mailing Address - Street 1:2104 N BLUFF ST
Mailing Address - Street 2:
Mailing Address - City:FULTON
Mailing Address - State:MO
Mailing Address - Zip Code:65251-2725
Mailing Address - Country:US
Mailing Address - Phone:573-642-8200
Mailing Address - Fax:573-642-8206
Practice Address - Street 1:2104 N BLUFF ST
Practice Address - Street 2:
Practice Address - City:FULTON
Practice Address - State:MO
Practice Address - Zip Code:65251-2725
Practice Address - Country:US
Practice Address - Phone:573-642-8200
Practice Address - Fax:573-642-8206
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