Provider Demographics
NPI:1164550323
Name:NEWKIRK, JANINE P (MS)
Entity Type:Individual
Prefix:MRS
First Name:JANINE
Middle Name:P
Last Name:NEWKIRK
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 CASTLE CT
Mailing Address - Street 2:
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:CA
Mailing Address - Zip Code:94010-6714
Mailing Address - Country:US
Mailing Address - Phone:650-579-0649
Mailing Address - Fax:
Practice Address - Street 1:10 CASTLE CT
Practice Address - Street 2:
Practice Address - City:HILLSBOROUGH
Practice Address - State:CA
Practice Address - Zip Code:94010-6714
Practice Address - Country:US
Practice Address - Phone:650-579-0649
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU1338231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ04934ZMedicare PIN
CAZZZ04933ZMedicare PIN
CAZZZ04930ZMedicare PIN
CAZZZ04931ZMedicare PIN
CAZZZ04932ZMedicare PIN