Gautsche, Julia A
Gautsche, Julia A is an individual health care provider with primary practice located at 1111 Lighthouse Lane , Goshen IN 46526-3824. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Gautsche, Julia A can be contacted via phone (574) 533-0348.Contact Information
Primary practice address
1111 Lighthouse Lane
Goshen IN 46526-3824
Phone: (574) 533-0348
Fax: (574) 533-0277
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 72000004 | Indiana |
Profile Details
| NPI number | 1003800814 |
|---|---|
| LBN Legal business name | Gautsche, Julia A |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2005 |
| Last updated | Sep 21st, 2017 - about 8 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 | 1003800814 | NPPES |
| Indiana | MEDICAID | 200069040 |
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