Provider Demographics
NPI:1548648066
Name:GINSBURG, JULIE SUZANNE (L AC)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:SUZANNE
Last Name:GINSBURG
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2431 11TH AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94606-2713
Mailing Address - Country:US
Mailing Address - Phone:510-575-0051
Mailing Address - Fax:510-443-5099
Practice Address - Street 1:541 ATHOL AVE
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94606-1507
Practice Address - Country:US
Practice Address - Phone:510-575-0051
Practice Address - Fax:510-443-5099
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-16
Last Update Date:2015-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16427171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist