Provider Demographics
NPI:1932329109
Name:GINSBERG, EVAN (DC)
Entity type:Individual
Prefix:DR
First Name:EVAN
Middle Name:
Last Name:GINSBERG
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4004
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98063-4004
Mailing Address - Country:US
Mailing Address - Phone:253-468-7879
Mailing Address - Fax:206-374-3012
Practice Address - Street 1:34008 18TH PL S STE B
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6877
Practice Address - Country:US
Practice Address - Phone:253-468-7879
Practice Address - Fax:206-374-3012
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-27
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034766111N00000X
WA00034766111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty