| Jmj3 Heritage, L.l.c. | |
|
3800 Commerce Blvd Davenport IA 52807-3495 | |
| (563) 322-1888 | |
| Not Available |
| Full Name | Jmj3 Heritage, L.l.c. |
|---|---|
| Speciality | General Practice |
| Location | 3800 Commerce Blvd, Davenport, Iowa |
| Authorized Official Name and Position | Naomi Chelli (ORGANIZER) |
| Authorized Official Contact | 5635085139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jmj3 Heritage, L.l.c. 3135 52nd Avenue Ct Bettendorf IA 52722-6953 Ph: (563) 508-5139 | Jmj3 Heritage, L.l.c. 3800 Commerce Blvd Davenport IA 52807-3495 Ph: (563) 322-1888 |
| NPI Number | 1548681950 |
|---|---|
| Provider Enumeration Date | 01/02/2014 |
| Last Update Date | 01/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548681950 | NPI | - | NPPES |
| 036111692 | Other | IL | ILLINOIS LICENSE |
| 35355 | Other | IA | IOWA LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 35355 (Iowa) | Primary |
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