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NPI Code Detail

MEDICARE: JANE W REINER

MEDICARE:   JANE W REINER
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
1374U00000XHome Health Aide2638104OH

General Provider Information

NPI Number : 1255535001
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE W REINER
Provider Business Mailing Address
First Line : 6820 OLD STATE ROUTE 42
Second Line :
City : S CHARLESTON
State : OH
Zip : 45368-8694
Country : US
Telephone Number : 704-307-3917
Fax Number :
Provider Business Practice Location Address
First Line : 6820 OLD STATE ROUTE 42
Second Line :
City : S CHARLESTON
State : OH
Zip : 45368-8694
Country : US
Telephone Number : 704-307-3917
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2007
Last Update Date : 07/08/2007

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Directions to “ JANE W REINER ” Practice Location

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