Individual
JANET M FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
101 STADIUM DR, MORGANTOWN, WV 26506-7911
(304) 598-4000
Mailing address
PO BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-7401
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
021424
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001706470
MSBCBS GROUP
WV
01
—
001720732
MOUNTAIN STATE BCBS
WV
05
—
0067756000
—
WV
05
—
0138176
—
OH
05
—
0207026000
—
WV
01
—
1045406
BRICKSTREET INDIVIDUAL
WV
05
—
148321800
—
MD
01
—
270052997004
TRICARE
WV
01
—
27005299701
BRICKSTREET
WV
01
—
486800700
FEDERAL EMPLOYEES
WV
05
—
74011040
—
KY
01
—
DA0096
RR MEDICARE
WV
01
—
P00229270
RR MEDICARE
WV
Enumeration date
05/25/2006
Last updated
12/30/2008
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