Provider Demographics
NPI:1346389376
Name:COMBS, JANET NICOLE
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:NICOLE
Last Name:COMBS
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 1:27653 HARRISON WOODS LANE
Mailing Address - Street 2:
Mailing Address - City:HARRISON TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48045-5012
Mailing Address - Country:US
Mailing Address - Phone:586-307-5017
Mailing Address - Fax:586-307-5019
Practice Address - Street 1:27653 HARRISON WOODS LN
Practice Address - Street 2:
Practice Address - City:HARRISON TWP
Practice Address - State:MI
Practice Address - Zip Code:48045-3545
Practice Address - Country:US
Practice Address - Phone:586-307-5017
Practice Address - Fax:586-307-5019
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other