Doctor Name: | MICHAEL EDWARD GINN |
NPI Number: | 1134399603 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RVT |
License Number: | 07195 |
Business Practice Address: | 805 Alexa Dr Suite E Mount Sterling, KY - 403531000 |
Business Phone Number: | 6067760134 |
Business Fax Number: | 6068492166 |
Mailing Address: | 805 Alexa Dr Ste E, P.o. Box 664 MOUNT STERLING |
State: | KY |
Postal Code: | 403531000 |
Phone Number: | 6067760134 |
Fax Number: | 6068492166 |
NPI Enumeration Date: | 03/11/2008 |
NPI Last Update Date: | 04/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 246XS1301X |
License Number: | 07195 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
Taxonomy Classification: | Spec/Tech, Cardiovascular |
Taxonomy Specialization: | Sonography |
Taxonomy Definition: |