Hairston, Julie
Hairston, Julie is an individual health care provider with primary practice located at 17422 W 10 Mile Rd B, Southfield MI 48075-2925. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Hairston, Julie can be contacted via phone (248) 443-7245.Contact Information
Primary practice address
17422 W 10 Mile Rd B
Southfield MI 48075-2925
Phone: (248) 443-7245
Fax: (248) 443-7258
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | Michigan |
Profile Details
| NPI number | 1366402133 |
|---|---|
| LBN Legal business name | Hairston, Julie |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Sep 9th, 2007 - about 17 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 | 1366402133 | NPPES |
| Michigan | MEDICAID | 4265873 |
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