Provider Demographics
NPI:1417123035
Name:CARPENTER, JANETTE MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:JANETTE
Middle Name:MARIE
Last Name:CARPENTER
Suffix:
Gender:F
Credentials:MD
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Other - First Name:
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Mailing Address - Street 1:280 SIERRA COLLEGE DR
Mailing Address - Street 2:SUITE 105
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-5763
Mailing Address - Country:US
Mailing Address - Phone:530-477-4480
Mailing Address - Fax:530-477-4499
Practice Address - Street 1:280 SIERRA COLLEGE DR
Practice Address - Street 2:SUITE 105
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-5763
Practice Address - Country:US
Practice Address - Phone:530-477-4480
Practice Address - Fax:530-477-4499
Is Sole Proprietor?:No
Enumeration Date:2008-05-03
Last Update Date:2013-11-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA102030207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology