Provider Demographics
NPI:1285052589
Name:GREEBEL, JANE
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:
Last Name:GREEBEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:CT
Mailing Address - Zip Code:06422-1214
Mailing Address - Country:US
Mailing Address - Phone:860-349-6527
Mailing Address - Fax:
Practice Address - Street 1:237 HAMILTON ST SUITE 205
Practice Address - Street 2:SOUTH BAY CHILDCARE
Practice Address - City:HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06106
Practice Address - Country:US
Practice Address - Phone:860-578-1301
Practice Address - Fax:860-951-7729
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-03
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program