Provider Demographics
NPI:1205130705
Name:OLIVER, JANINE MARIE (DVM)
Entity type:Individual
Prefix:DR
First Name:JANINE
Middle Name:MARIE
Last Name:OLIVER
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 N MENDENHALL ST
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1756
Mailing Address - Country:US
Mailing Address - Phone:336-541-4849
Mailing Address - Fax:360-323-1631
Practice Address - Street 1:2936 BATTLEGROUND AVE
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27408-2706
Practice Address - Country:US
Practice Address - Phone:336-541-4849
Practice Address - Fax:360-323-1631
Is Sole Proprietor?:No
Enumeration Date:2010-12-27
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6410174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCFO0876574OtherDEA