Provider Demographics
NPI:1386977023
Name:RINER, JANET LYNN (HIS)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:LYNN
Last Name:RINER
Suffix:
Gender:F
Credentials:HIS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:770 SOUTH MAIN ST.
Mailing Address - Street 2:SUITE C-14
Mailing Address - City:FOND DU LAC
Mailing Address - State:WI
Mailing Address - Zip Code:54935
Mailing Address - Country:US
Mailing Address - Phone:920-924-9380
Mailing Address - Fax:920-924-9384
Practice Address - Street 1:770 SOUTH MAIN ST
Practice Address - Street 2:SUITE C-14
Practice Address - City:FOND DU LAC
Practice Address - State:WI
Practice Address - Zip Code:54935
Practice Address - Country:US
Practice Address - Phone:920-924-9380
Practice Address - Fax:920-924-9384
Is Sole Proprietor?:No
Enumeration Date:2009-09-14
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI1306.060237700000X
WI1166-060237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist