Provider Demographics
NPI:1033230685
Name:MARTIN, JANENE ELIZABETH (ND)
Entity Type:Individual
Prefix:DR
First Name:JANENE
Middle Name:ELIZABETH
Last Name:MARTIN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2345 YORK RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:LUTHERVILLE TIMONIUM
Mailing Address - State:MD
Mailing Address - Zip Code:21093-2265
Mailing Address - Country:US
Mailing Address - Phone:410-296-4005
Mailing Address - Fax:410-296-4636
Practice Address - Street 1:2345 YORK RD
Practice Address - Street 2:SUITE 102
Practice Address - City:LUTHERVILLE TIMONIUM
Practice Address - State:MD
Practice Address - Zip Code:21093-2265
Practice Address - Country:US
Practice Address - Phone:410-296-4005
Practice Address - Fax:410-296-4636
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDJ0000013175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath