CYNTHIA GENRICH COSMETOLOGIST NPI 1538621107

NPI Information

NPI: 1538621107
Provider Name: CYNTHIA GENRICH, COSMETOLOGIST
Classification: Specialist/Technologist, Other - 246Z00000X
Entity Type: Individual
Address:
202 N SHOW PLACE DR
ROCKFORD, IL
ZIP 61107
Phone: (815) 332-3710
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Cynthia Genrich, COSMETOLOGIST is a specialist technologist other in Rockford, IL. The provider is general classification identifying individuals trained on specific equipment and technical procedures in one of a collection of miscellaneous healthcare disciplines. Cynthia Genrich, COSMETOLOGIST NPI is 1538621107. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

202 N SHOW PLACE DR
ROCKFORD, IL
ZIP 61107-351
Phone: (815) 332-3710
Fax: (815) 332-3407

The enumeration date for this NPI number is 4/3/2019 and was last updated on 3/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	246Z00000X	Specialist/Technologist, Other		011.148061	ILLINOIS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	011.148061	OTHER	ILLINOIS	COSMETOLOGIST

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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