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General NPI Number Information
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NPI Number | 1619017498
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Entity Type | Organization
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Legal Business Name | JANISS D COBB
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 12/22/2011
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Provider Practice Location Address
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Address Line | 7249 HOLDERMAN ST
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City | LEWIS CENTER
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State | OH
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Zip | 43035-8462
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Country | US
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Telephone | 740-549-6522
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Fax | 740-548-0914
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Provider Business Mailing Address
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Address Line | 7249 HOLDERMAN ST
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City | LEWIS CENTER
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State | OH
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Zip | 43035-8462
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Country | US
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Telephone | 740-549-6522
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Fax | 740-548-0914
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Authorized Official
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Title or Position | RESPIRATORY THERAPIST
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Name | MRS. JANISS DARLENE COBB
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Credential | RCP CRT
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Telephone | 740-549-6522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number | 5362
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License Number State | OH
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