Martin, Julie Elizabeth
Martin, Julie Elizabeth is an individual health care provider with primary practice located at 109 New Camellia Blvd Ste 200 , Covington LA 70433-7829. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Martin, Julie Elizabeth can be contacted via phone (985) 277-5463.Contact Information
Primary practice address
109 New Camellia Blvd Ste 200
Covington LA 70433-7829
Phone: (985) 277-5463
Fax: (985) 277-5463
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | N0249 | Texas |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD.208214 | Louisiana |
Profile Details
| NPI number | 1356532543 |
|---|---|
| LBN Legal business name | Martin, Julie Elizabeth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2007 |
| Last updated | Nov 16th, 2021 - about 3 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 | 1356532543 | NPPES |
| Louisiana | MEDICAID | 2402048 | |
| Louisiana | MEDICAID | 04909242 | |
| Louisiana | Other | 2776501766 |
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