Ginkel, Brandon Tyler

Ginkel, Brandon Tyler is an individual health care provider with primary practice located at 784 High St , San Luis Obispo CA 93401-5243. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Peer Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is his primary health care specialty. Ginkel, Brandon Tyler can be contacted via phone (805) 540-6500.

Contact Information

Primary practice address
784 High St San Luis Obispo CA 93401-5243
Phone: (805) 540-6500
Fax: (805) 540-6501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Peer Specialist 175T00000X MPSS-OPLQSC California
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1043915432
LBN Legal business name Ginkel, Brandon Tyler
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2023
Last updated Aug 5th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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