Provider Demographics
NPI:1295812022
Name:CALL, JANETTE L (BC-HIS)
Entity type:Individual
Prefix:MS
First Name:JANETTE
Middle Name:L
Last Name:CALL
Suffix:
Gender:F
Credentials:BC-HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:620 N KINGSHIGHWAY ST STE 10
Mailing Address - Street 2:
Mailing Address - City:PERRYVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:63775-1218
Mailing Address - Country:US
Mailing Address - Phone:573-547-2888
Mailing Address - Fax:573-547-2858
Practice Address - Street 1:620 N KINGSHIGHWAY ST STE 10
Practice Address - Street 2:
Practice Address - City:PERRYVILLE
Practice Address - State:MO
Practice Address - Zip Code:63775-1218
Practice Address - Country:US
Practice Address - Phone:573-547-2888
Practice Address - Fax:573-547-2858
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2003015949237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO338375207Medicaid