Moede, Julie Catheryn

Moede, Julie Catheryn is an individual health care provider with primary practice located at 2 Medical Plaza Dr Suite 130, Roseville CA 95661-3043. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moede, Julie Catheryn can be contacted via phone (916) 865-1414.

Contact Information

Primary practice address
2 Medical Plaza Dr Suite 130 Roseville CA 95661-3043
Phone: (916) 865-1414
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA17619 California

Profile Details

NPI number 1942312491
LBN Legal business name Moede, Julie Catheryn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Jul 27th, 2015 - about 10 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 1942312491 NPPES
California MEDICAID PA17619

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