Provider Demographics
NPI:1790175644
Name:VAN BEELEN, JANET
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:VAN BEELEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 N JENISON AVE
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48915-1416
Mailing Address - Country:US
Mailing Address - Phone:517-492-7753
Mailing Address - Fax:
Practice Address - Street 1:5609 W SAGINAW HWY
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-2456
Practice Address - Country:US
Practice Address - Phone:517-327-0620
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-30
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician