Kiefer, Julie

Kiefer, Julie is an individual health care provider with primary practice located at 4825 E Roosevelt St , Phoenix AZ 85008-5917. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Kiefer, Julie can be contacted via phone (602) 629-6450.

Contact Information

Primary practice address
4825 E Roosevelt St Phoenix AZ 85008-5917
Phone: (602) 629-6450
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X 3816633 Arizona

Profile Details

NPI number 1336379692
LBN Legal business name Kiefer, Julie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2009
Last updated Jul 21st, 2009 - about 16 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 1336379692 NPPES
Arizona MEDICAID 637382

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