| Janice Reeder Llc | |
|
34 Jerome Ave Ste 116 Bloomfield CT 06002-2463 | |
| (860) 836-5629 | |
| Not Available |
| Full Name | Janice Reeder Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 34 Jerome Ave Ste 116, Bloomfield, Connecticut |
| Authorized Official Name and Position | Janice Reeder (OWNER) |
| Authorized Official Contact | 2034908862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Janice Reeder Llc 14 Stirrup Ln Barkhamsted CT 06063-3415 Ph: () - | Janice Reeder Llc 34 Jerome Ave Ste 116 Bloomfield CT 06002-2463 Ph: (860) 836-5629 |
| NPI Number | 1811401011 |
|---|---|
| Provider Enumeration Date | 11/27/2017 |
| Last Update Date | 01/24/2018 |
| Medicare PECOS PAC ID | 1456610294 |
|---|---|
| Medicare Enrollment ID | O20180124000384 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811401011 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 5655 (Connecticut) | Primary |
| Provider Name | Janice A. Reeder |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144642604 PECOS PAC ID: 0749403475 Enrollment ID: I20140527000282 |
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