| Jana Peters | |
|
365 Courthouse Road Princeton WV 24740 | |
| (304) 425-3922 | |
| (304) 487-0229 |
| Full Name | Jana Peters |
|---|---|
| Speciality | Family Medicine |
| Location | 365 Courthouse Road, Princeton, West Virginia |
| Authorized Official Name and Position | Jana M Peters (OWNER) |
| Authorized Official Contact | 3044253922 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jana Peters 365 Courthouse Road Princeton WV 24740 Ph: (304) 425-3922 | Jana Peters 365 Courthouse Road Princeton WV 24740 Ph: (304) 425-3922 |
| NPI Number | 1396875746 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 01/04/2012 |
| Medicare PECOS PAC ID | 4183652118 |
|---|---|
| Medicare Enrollment ID | O20070907000082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396875746 | NPI | - | NPPES |
| 001720758 | Other | WV | MT STATE BCBS |
| 0041701001 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | WV381 (West Virginia) | Primary |
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