Debord, Julie J
Debord, Julie J is an individual health care provider with primary practice located at 2600 Greenbush St , Lafayette IN 47904-2477. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Debord, Julie J can be contacted via phone (765) 448-8000.Contact Information
Primary practice address
2600 Greenbush St
Lafayette IN 47904-2477
Phone: (765) 448-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 71009269A | Indiana |
Profile Details
| NPI number | 1053968024 |
|---|---|
| LBN Legal business name | Debord, Julie J |
| Credentials | AGNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2019 |
| Last updated | Mar 4th, 2021 - about 4 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 | 1053968024 | NPPES |
| Indiana | MEDICAID | 300032530 |
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