Provider Demographics
NPI:1417588005
Name:GINGERICH, AMOS
Entity Type:Individual
Prefix:
First Name:AMOS
Middle Name:
Last Name:GINGERICH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:CMR 402 BOX 1363
Mailing Address - Street 2:
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09180-0014
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:26 HOFSTATTSTRASSE
Practice Address - Street 2:
Practice Address - City:WALLHALBEN
Practice Address - State:GERMANY
Practice Address - Zip Code:66917
Practice Address - Country:DE
Practice Address - Phone:049-063-7599
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-31
Last Update Date:2020-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer