| Organization Name: | JM HEALTHCARE, PC |
| NPI Number: | 1871717249 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SHAWN D. ROLL (OFFICE MANAGER) |
| Mailing Address: | 402 E Us Highway 136 Albany |
| State: | MO US |
| Postal Code: | 644028210 |
| Phone Number: | 6607263311 |
| Fax Number: | 6607263206 |
| NPI Enumeration Date: | 04/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | DO104860 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |