Provider Demographics
NPI:1164751442
Name:SENSENBRENNER, JANET
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:SENSENBRENNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 E 90TH ST
Mailing Address - Street 2:R16
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44106-2971
Mailing Address - Country:US
Mailing Address - Phone:216-636-0763
Mailing Address - Fax:
Practice Address - Street 1:2010 E 90TH ST
Practice Address - Street 2:R16
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44106-2971
Practice Address - Country:US
Practice Address - Phone:216-636-0763
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-15
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH03318354183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist