Mathis, Julie Barineau

Mathis, Julie Barineau is an sole proprietor health care provider with primary practice located at 296 Cherokee Dr , Havana FL 32333-4522. She recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as her primary health care specialty. Mathis, Julie Barineau can be contacted via phone (850) 868-0623.

Contact Information

Primary practice address
296 Cherokee Dr Havana FL 32333-4522
Phone: (850) 868-0623
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X OTA12926 Florida

Profile Details

NPI number 1316383003
LBN Legal business name Mathis, Julie Barineau
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2013
Last updated May 21st, 2013 - about 12 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 1316383003 NPPES
Florida Other 308933 NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
Florida Other OTA12926 NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY

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