Provider Demographics
NPI:1194915892
Name:HINKLE, MICHAEL L (CPED)
Entity type:Individual
Prefix:
First Name:MICHAEL
Middle Name:L
Last Name:HINKLE
Suffix:
Gender:M
Credentials:CPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5620 STOCKDALE HWY
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-2570
Mailing Address - Country:US
Mailing Address - Phone:661-326-8848
Mailing Address - Fax:661-326-8019
Practice Address - Street 1:5620 STOCKDALE HWY
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-2570
Practice Address - Country:US
Practice Address - Phone:661-326-8848
Practice Address - Fax:661-326-8019
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-28
Last Update Date:2007-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist