| Janai Meyer Nutrition And Lactation, Llc | |
|
130 Carlanna Lake Rd Lowr Ketchikan AK 99901-5669 | |
| (907) 220-9920 | |
| (907) 220-9925 |
| Full Name | Janai Meyer Nutrition And Lactation, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 130 Carlanna Lake Rd Lowr, Ketchikan, Alaska |
| Authorized Official Name and Position | Janai Marie Meyer (OWNER) |
| Authorized Official Contact | 9072209920 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Janai Meyer Nutrition And Lactation, Llc 130 Carlanna Lake Rd Lowr Ketchikan AK 99901-5669 Ph: (907) 220-9920 | Janai Meyer Nutrition And Lactation, Llc 130 Carlanna Lake Rd Lowr Ketchikan AK 99901-5669 Ph: (907) 220-9920 |
| NPI Number | 1972976967 |
|---|---|
| Provider Enumeration Date | 11/12/2015 |
| Last Update Date | 11/13/2015 |
| Medicare PECOS PAC ID | 9436453990 |
|---|---|
| Medicare Enrollment ID | O20160204000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972976967 | NPI | - | NPPES |
| 1003924 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 10032053 (Alaska) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 10032053 (Alaska) | Secondary |
| Provider Name | Janai M Meyer |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1932108347 PECOS PAC ID: 0446438147 Enrollment ID: I20130702000530 |
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