Provider Demographics
NPI:1700102878
Name:JANES, FRANCIS EDWARD (MD)
Entity Type:Individual
Prefix:
First Name:FRANCIS
Middle Name:EDWARD
Last Name:JANES
Suffix:
Gender:M
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:PSC 76 BOX 6821
Mailing Address - Street 2:
Mailing Address - City:APO AP
Mailing Address - State:AOMORI
Mailing Address - Zip Code:96319
Mailing Address - Country:JP
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:BLDG 99
Practice Address - Street 2:UNIT 5024
Practice Address - City:APO AP
Practice Address - State:AOMORI
Practice Address - Zip Code:96319
Practice Address - Country:JP
Practice Address - Phone:315-226-6647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-14
Last Update Date:2023-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD.204849207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA2308254Medicaid
LA2308254Medicaid