Grobbelaar Fernandes, Julie
Grobbelaar Fernandes, Julie is an individual health care provider with primary practice located at 2615 Harrison St , Bellwood IL 60104-2450. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Grobbelaar Fernandes, Julie can be contacted via phone (708) 493-0199.Contact Information
Primary practice address
2615 Harrison St
Bellwood IL 60104-2450
Phone: (708) 493-0199
Fax: (708) 493-9683
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 056008894 | Illinois |
Profile Details
| NPI number | 1073813507 |
|---|---|
| LBN Legal business name | Grobbelaar Fernandes, Julie |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 1st, 2010 |
| Last updated | Nov 1st, 2010 - about 14 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 | 1073813507 | NPPES |
| Illinois | Other | 056008894 | LICENSE |
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