Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | 12328 | LA |
NPI | 1003816133 |
---|---|
Provider Name | Jeffrey L Janies |
First Address | Baton Rouge, LA 70817-5126 |
Second Address | Baton Rouge, LA 70817-5126 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/07/2005 |
Last Update Date | 20/07/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1134589 | (05) | LA |
E02560 | (02) |