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NPI Code Detail

MEDICARE: JANET VAN BEELEN

MEDICARE: JANET VAN BEELEN
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
1183700000XPharmacy Technician

General Provider Information

NPI Number : 1790175644
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANET VAN BEELEN
Provider Business Mailing Address
First Line : 1208 N JENISON AVE
Second Line :
City : LANSING
State : MI
Zip : 48915-1416
Country : US
Telephone Number : 517-492-7753
Fax Number :
Provider Business Practice Location Address
First Line : 5609 W SAGINAW HWY
Second Line :
City : LANSING
State : MI
Zip : 48917-2456
Country : US
Telephone Number : 517-327-0620
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2015
Last Update Date : 01/30/2015

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Directions to “ JANET VAN BEELEN ” Practice Location

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