Provider Demographics
NPI:1407827009
Name:GINSBURG, CHARLES D (DC)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:D
Last Name:GINSBURG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12401 MIDDLEBROOK RD
Mailing Address - Street 2:SUITE 190
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-1525
Mailing Address - Country:US
Mailing Address - Phone:301-353-9676
Mailing Address - Fax:301-528-6214
Practice Address - Street 1:12401 MIDDLEBROOK RD
Practice Address - Street 2:SUITE 190
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-1525
Practice Address - Country:US
Practice Address - Phone:301-353-9676
Practice Address - Fax:301-528-6214
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2015-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA010455583111N00000X
MD01984111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor