Provider Demographics
NPI:1730368903
Name:WEISS, JANET (LPT)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:WEISS
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:183 BARTLETT ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-4306
Mailing Address - Country:US
Mailing Address - Phone:828-255-7680
Mailing Address - Fax:
Practice Address - Street 1:183 BARTLETT STREET
Practice Address - Street 2:SUITE 110
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801
Practice Address - Country:US
Practice Address - Phone:828-255-7680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-24
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4463174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCQ379740281Medicare PIN