Provider Demographics
NPI:1922764513
Name:GINGERICH, JULIE JANETTE (HC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:JANETTE
Last Name:GINGERICH
Suffix:
Gender:F
Credentials:HC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:32327 STATE ROUTE 643
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:OH
Mailing Address - Zip Code:43824-9516
Mailing Address - Country:US
Mailing Address - Phone:330-897-3232
Mailing Address - Fax:330-897-2395
Practice Address - Street 1:32327 STATE ROUTE 643
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:OH
Practice Address - Zip Code:43824-9516
Practice Address - Country:US
Practice Address - Phone:330-897-3232
Practice Address - Fax:330-897-2395
Is Sole Proprietor?:No
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH