Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PE0004X | Emergency Medical Services | 20A9989 | CA |
N | 207PE0004X | Emergency Medical Services | 5101015854 | MI |
NPI | 1023034501 |
---|---|
Provider Name | Dr. Joseph Ginejko |
First Address | Emeryville, CA 94608-1844 |
Second Address | Hanford, CA 93230-3513 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 04/01/2018 |