MEDICARE: MRS. JANINE P NEWKIRK M.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	231H00000X	Audiologist	AU1338	CA

General Provider Information

NPI Number	:	1164550323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JANINE P NEWKIRK M.S.

Provider Business Mailing Address
First Line	:	10 CASTLE CT
Second Line	:
City	:	HILLSBOROUGH
State	:	CA
Zip	:	94010-6714
Country	:	US
Telephone Number	:	650-579-0649
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 CASTLE CT
Second Line	:
City	:	HILLSBOROUGH
State	:	CA
Zip	:	94010-6714
Country	:	US
Telephone Number	:	650-579-0649
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	10/10/2007

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