Provider Demographics
NPI:1700018967
Name:POHLMAN, JANIS K (RN)
Entity Type:Individual
Prefix:
First Name:JANIS
Middle Name:K
Last Name:POHLMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1431 N HEINCKE RD
Mailing Address - Street 2:
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-2018
Mailing Address - Country:US
Mailing Address - Phone:937-866-8310
Mailing Address - Fax:
Practice Address - Street 1:1431 N HEINCKE RD
Practice Address - Street 2:
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-2018
Practice Address - Country:US
Practice Address - Phone:937-866-8310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-20
Last Update Date:2009-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN110213163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHRN 110213OtherLICENSE NUMBER