Callicutt, Julie
Callicutt, Julie is an sole proprietor health care provider with primary practice located at 5307 Broadmoor Pl , Greensboro NC 27410-3420. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Callicutt, Julie can be contacted via phone (336) 908-4151.Contact Information
Primary practice address
5307 Broadmoor Pl
Greensboro NC 27410-3420
Phone: (336) 908-4151
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X |
Profile Details
| NPI number | 1790981793 |
|---|---|
| LBN Legal business name | Callicutt, Julie |
| Credentials | M.ED., E.I., ITFS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 26th, 2007 |
| Last updated | Feb 4th, 2012 - about 13 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790981793 | NPPES |
| North Carolina | MEDICAID | 8200082K |
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