Provider Demographics
NPI:1306429295
Name:PINKHAM MEDICAL
Entity type:Organization
Organization Name:PINKHAM MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PINKHAM
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM
Authorized Official - Phone:614-486-7525
Mailing Address - Street 1:2170 RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43221-4076
Mailing Address - Country:US
Mailing Address - Phone:614-486-7525
Mailing Address - Fax:
Practice Address - Street 1:2170 RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-4076
Practice Address - Country:US
Practice Address - Phone:614-486-7525
Practice Address - Fax:614-488-4736
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-29
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty