Individual
JANICE L KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LDN, CDE
Contact information
Practice address
147 WEST MAIN STREET, WEST BROOKFIELD, MA 01585
(508) 867-9735
(508) 867-2600
Mailing address
PO BOX 585, 147 WEST MAIN STREET, WEST BROOKFIELD, MA 01585-0585
(508) 867-9735
(508) 867-2600
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
1525
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
34906
HEALTH NEW ENGLAND
MA
01
—
468610
TUFTS HEALTH PLAN
MA
01
—
63-00292
UNITED HEALTH PLAN
MA
01
—
660137
ACN GROUP
MA
01
—
AA1964
HARVARD PILGRIM
MA
01
—
LD0065
BLUE CROSS BLUE SHIELD
MA
Enumeration date
02/15/2007
Last updated
12/06/2007
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