Provider Demographics
NPI:1598960999
Name:STREEPEY, JANET LYNN (MD MPH)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:LYNN
Last Name:STREEPEY
Suffix:
Gender:F
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:691 MAIN ST NE
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:IN
Mailing Address - Zip Code:47164-8894
Mailing Address - Country:US
Mailing Address - Phone:812-364-4669
Mailing Address - Fax:812-364-4783
Practice Address - Street 1:691 MAIN ST NE
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:IN
Practice Address - Zip Code:47164-8894
Practice Address - Country:US
Practice Address - Phone:812-364-4669
Practice Address - Fax:812-364-4783
Is Sole Proprietor?:No
Enumeration Date:2007-06-18
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01025459174400000X
IN01025459A2083X0100X, 208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No174400000XOther Service ProvidersSpecialist
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
INC249-25Medicare UPIN