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JMJ3 HERITAGE L.L.C. NPI 1548681950


NPI Information

NPI: 1548681950
Provider Name: JMJ3 HERITAGE, L.L.C.
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
3800 COMMERCE BLVD
DAVENPORT, IA
ZIP 52807
Phone: (563) 322-1888
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JMJ3 HERITAGE, L.L.C. is a general practice in Davenport, IA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee JMJ3 HERITAGE, L.L.C. NPI is 1548681950. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3800 COMMERCE BLVD
DAVENPORT, IA
ZIP 52807-495
Phone: (563) 322-1888

The provider's authorized official is Naomi Chelli .
The authorized official title is Organizer and has the following contact phone number (563) 508-5139.

The enumeration date for this NPI number is 1/2/2014 and was last updated on 1/2/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral Practice35355IOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
135355OTHERIOWAIOWA LICENSE
2036111692OTHERILLINOISILLINOIS LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.