Provider Demographics
NPI:1871038448
Name:SCHAEFER, JANET (MS, MBA, CDE, C D/N)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:
Last Name:SCHAEFER
Suffix:
Gender:F
Credentials:MS, MBA, CDE, C D/N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 CLIFFMORE RD
Mailing Address - Street 2:
Mailing Address - City:WEST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06107-1152
Mailing Address - Country:US
Mailing Address - Phone:860-478-5570
Mailing Address - Fax:860-521-4453
Practice Address - Street 1:59 CLIFFMORE RD
Practice Address - Street 2:
Practice Address - City:WEST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06107-1152
Practice Address - Country:US
Practice Address - Phone:860-478-5570
Practice Address - Fax:860-521-4453
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-05
Last Update Date:2017-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000728133N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist