Chavez, Julie A

Chavez, Julie A is an sole proprietor health care provider with primary practice located at 5100 Gamble Dr Suite 125, St Louis Park MN 55416-1521. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Chavez, Julie A can be contacted via phone (952) 465-0105.

Contact Information

Primary practice address
5100 Gamble Dr Suite 125 St Louis Park MN 55416-1521
Phone: (952) 465-0105
Fax: (952) 465-0106
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D11399 Minnesota

Profile Details

NPI number 1851364392
LBN Legal business name Chavez, Julie A
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 7th, 2006
Last updated Oct 5th, 2010 - about 15 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851364392 NPPES
Minnesota Other 140122 U CARE
Minnesota Other 850000116 U CARE
Minnesota Other 000924472 U CARE
Minnesota Other P00841569 U CARE
Minnesota Other 3AI38CH U CARE
Minnesota Other 15306 U CARE

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