Provider Demographics
NPI:1376988618
Name:MENSINK MANAGEMENT COMPANY INC
Entity Type:Organization
Organization Name:MENSINK MANAGEMENT COMPANY INC
Other - Org Name:THE PRACTICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:MENSINK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:661-871-3300
Mailing Address - Street 1:2920 F ST
Mailing Address - Street 2:SUITE D7
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-1845
Mailing Address - Country:US
Mailing Address - Phone:661-871-3300
Mailing Address - Fax:661-871-3307
Practice Address - Street 1:2920 F ST
Practice Address - Street 2:SUITE D7
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1845
Practice Address - Country:US
Practice Address - Phone:661-871-3300
Practice Address - Fax:661-871-3307
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-30
Last Update Date:2013-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG58097207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty