Provider Demographics
NPI:1902839376
Name:FRITSCH, JANET MARIE (MD)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:MARIE
Last Name:FRITSCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 80
Mailing Address - Street 2:
Mailing Address - City:HARRODSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:47434-0080
Mailing Address - Country:US
Mailing Address - Phone:812-824-7850
Mailing Address - Fax:
Practice Address - Street 1:601 W 2ND ST
Practice Address - Street 2:
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47403-2317
Practice Address - Country:US
Practice Address - Phone:800-483-4804
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01036666207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN000000090884OtherANTHEM PIN
IN050025844OtherRR MEDICARE
IN100184730AMedicaid
IN547540FMedicare PIN
IN000000090884OtherANTHEM PIN