Provider Demographics
NPI:1578700662
Name:GIRT, JANIS ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:JANIS
Middle Name:ANN
Last Name:GIRT
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5066 MARTISCO RD
Mailing Address - Street 2:
Mailing Address - City:MARCELLUS
Mailing Address - State:NY
Mailing Address - Zip Code:13108-9728
Mailing Address - Country:US
Mailing Address - Phone:315-345-5365
Mailing Address - Fax:
Practice Address - Street 1:5066 MARTISCO RD
Practice Address - Street 2:
Practice Address - City:MARCELLUS
Practice Address - State:NY
Practice Address - Zip Code:13108-9728
Practice Address - Country:US
Practice Address - Phone:315-345-5365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-13
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008861111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor