Provider Demographics
NPI:1922184092
Name:MILLS, GINGER (DC)
Entity Type:Individual
Prefix:DR
First Name:GINGER
Middle Name:
Last Name:MILLS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:GINGER
Other - Middle Name:
Other - Last Name:MILLS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:555 VETERANS BLVD, SUITE 101
Mailing Address - Street 2:
Mailing Address - City:REDWOOD CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94063
Mailing Address - Country:US
Mailing Address - Phone:650-369-7304
Mailing Address - Fax:
Practice Address - Street 1:555 VETERANS BLVD, SUITE 101
Practice Address - Street 2:
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94063
Practice Address - Country:US
Practice Address - Phone:650-369-7304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2010-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA23385111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor