Provider Demographics
NPI:1760522197
Name:FRITTS, JANET L (L AC)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:L
Last Name:FRITTS
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 E BUFFALO ST
Mailing Address - Street 2:SUITE 529
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53202-5739
Mailing Address - Country:US
Mailing Address - Phone:414-226-2256
Mailing Address - Fax:
Practice Address - Street 1:207 E BUFFALO ST
Practice Address - Street 2:SUITE 529
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53202-5739
Practice Address - Country:US
Practice Address - Phone:414-226-2256
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI494-055171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist