Provider Demographics
NPI:1801891049
Name:HINZMAN, JANET Y (MD)
Entity type:Individual
Prefix:DR
First Name:JANET
Middle Name:Y
Last Name:HINZMAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:JANET
Other - Middle Name:H
Other - Last Name:FLANDREAU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:286 HOSPITAL LOOP STE 2
Mailing Address - Street 2:
Mailing Address - City:BERLIN
Mailing Address - State:VT
Mailing Address - Zip Code:05602-8496
Mailing Address - Country:US
Mailing Address - Phone:802-223-6169
Mailing Address - Fax:844-240-2519
Practice Address - Street 1:286 HOSPITAL LOOP STE 2
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:VT
Practice Address - Zip Code:05602-8496
Practice Address - Country:US
Practice Address - Phone:802-223-6169
Practice Address - Fax:844-240-2519
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-15
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT042-0006588207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VTHINZ00005288OtherBLUE SHIELD
VTT000268OtherTRICARE
VT0005288Medicaid
VT042-0006588OtherSTATE LICENSE
VT07208OtherMVP
47D0091531OtherCLIA CERTIFICATE
VT72910OtherCIGNA
VT042-0006588OtherSTATE LICENSE
VTT000268OtherTRICARE
VTHINZ00005288OtherBLUE SHIELD
VT042-0006588OtherSTATE LICENSE