Provider Demographics
NPI:1336326479
Name:FAVINGER, JANET
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:
Last Name:FAVINGER
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 1:25255 GRAVEL HILL RD
Mailing Address - Street 2:
Mailing Address - City:MILLSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19966-3468
Mailing Address - Country:US
Mailing Address - Phone:302-934-1471
Mailing Address - Fax:302-934-9687
Practice Address - Street 1:25255 GRAVEL HILL RD
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-3468
Practice Address - Country:US
Practice Address - Phone:302-934-1471
Practice Address - Fax:302-934-9687
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-30
Last Update Date:2008-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEG00813Medicare PIN