Provider Demographics
NPI:1861893323
Name:HOUSEHOLDER, JANET MARIE (PA)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:MARIE
Last Name:HOUSEHOLDER
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:3750 TOWNSHIP ROAD 221 SE
Mailing Address - Street 2:
Mailing Address - City:NEW LEXINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43764-9746
Mailing Address - Country:US
Mailing Address - Phone:740-343-3154
Mailing Address - Fax:
Practice Address - Street 1:800 FOREST AVE
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-2821
Practice Address - Country:US
Practice Address - Phone:740-455-7625
Practice Address - Fax:740-454-4681
Is Sole Proprietor?:No
Enumeration Date:2014-09-15
Last Update Date:2016-11-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH004098363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant