Healthcare Provider Details

I. General information

NPI: 1568565752
Provider Name (Legal Business Name): JANET BARBARA ABSHIRE M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1675 ALHAMBRA BLVD SUITE B
SACRAMENTO CA
95816-7047
US

IV. Provider business mailing address

18 MILLVIEW CT
SACRAMENTO CA
95833-1826
US

V. Phone/Fax

Practice location:
  • Phone: 916-451-4580
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberG78495
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: