Provider Demographics
NPI:1952393530
Name:AKREMI, JANET E (BSM CPM)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:E
Last Name:AKREMI
Suffix:
Gender:F
Credentials:BSM CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14402 HIGHWAY 135
Mailing Address - Street 2:
Mailing Address - City:PILOT GROVE
Mailing Address - State:MO
Mailing Address - Zip Code:65276-2207
Mailing Address - Country:US
Mailing Address - Phone:660-422-1292
Mailing Address - Fax:
Practice Address - Street 1:14402 HIGHWAY 135
Practice Address - Street 2:
Practice Address - City:PILOT GROVE
Practice Address - State:MO
Practice Address - Zip Code:65276-2207
Practice Address - Country:US
Practice Address - Phone:660-422-1292
Practice Address - Fax:800-506-9847
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2023-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
1532330OtherHEALTHCARE USA
105742OtherANTHEM
MO202805958Medicaid
MO26D0986851OtherCLIA
0005875514OtherAETNA
MO26D0986851OtherCLIA
1532330OtherHEALTHCARE USA