Provider Demographics
NPI:1598591943
Name:JMR CREATIONS LLC
Entity type:Organization
Organization Name:JMR CREATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:JAIME
Authorized Official - Middle Name:
Authorized Official - Last Name:DOTTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-941-9646
Mailing Address - Street 1:1620 YORK RD
Mailing Address - Street 2:BLDG 108 SUITE 5
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-2006
Mailing Address - Country:US
Mailing Address - Phone:410-941-9646
Mailing Address - Fax:
Practice Address - Street 1:1620 YORK RD
Practice Address - Street 2:BLDG 108 SUITE 5
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093
Practice Address - Country:US
Practice Address - Phone:410-941-9646
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier