Provider Demographics
NPI:1437720067
Name:WARD, JANET SUE
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:SUE
Last Name:WARD
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:JANET
Other - Middle Name:SUE
Other - Last Name:CHAMBERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1450 MEADOWVIEW DR APT 2
Mailing Address - Street 2:
Mailing Address - City:CELINA
Mailing Address - State:OH
Mailing Address - Zip Code:45822-4108
Mailing Address - Country:US
Mailing Address - Phone:937-694-9739
Mailing Address - Fax:
Practice Address - Street 1:720 ARMSTRONG ST
Practice Address - Street 2:
Practice Address - City:SAINT MARYS
Practice Address - State:OH
Practice Address - Zip Code:45885-1800
Practice Address - Country:US
Practice Address - Phone:419-394-7451
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-06
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator