MEDICARE: JANICE A GLOVER

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	332B00000X	Durable Medical Equipment & Medical Supplies		WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669574240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANICE A GLOVER

Provider Business Mailing Address
First Line	:	9726 44TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-2705
Country	:	US
Telephone Number	:	206-935-8704
Fax Number	:	206-935-8704

Provider Business Practice Location Address
First Line	:	9726 44TH AVE SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-2705
Country	:	US
Telephone Number	:	206-935-8704
Fax Number	:	206-935-8704

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/02/2006
Last Update Date	:	02/13/2008

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Directions to “ JANICE A GLOVER ” Practice Location

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