MEDICARE: JANET REITZ

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	237600000X	Audiologist-Hearing Aid Fitter

General Provider Information

NPI Number	:	1477804144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JANET REITZ

Provider Business Mailing Address
First Line	:	4720 WILMINGTON PIKE
Second Line	:
City	:	KETTERING
State	:	OH
Zip	:	45440-2021
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4720 WILMINGTON PIKE
Second Line	:
City	:	KETTERING
State	:	OH
Zip	:	45440-2021
Country	:	US
Telephone Number	:	937-435-5033
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JANET FLICK
Credential	:
Telephone Number	:	937-435-5033

Provider Enumeration Date	:	09/21/2012
Last Update Date	:	09/21/2012

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Directions to “JANET REITZ ” Practice Location

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