Provider Demographics
NPI:1548419856
Name:ROSINACK, CHERYL JESSE
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:JESSE
Last Name:ROSINACK
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3730 HOPYARD RD
Mailing Address - Street 2:
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588-8562
Mailing Address - Country:US
Mailing Address - Phone:925-551-6851
Mailing Address - Fax:925-417-0947
Practice Address - Street 1:3730 HOPYARD RD
Practice Address - Street 2:
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588-8562
Practice Address - Country:US
Practice Address - Phone:925-551-6851
Practice Address - Fax:925-417-0947
Is Sole Proprietor?:No
Enumeration Date:2008-09-10
Last Update Date:2008-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program