Motherway, Julia Collins
Motherway, Julia Collins is an sole proprietor health care provider with primary practice located at 17400 Irvine Blvd Suite F, Tustin CA 92780-3030. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Motherway, Julia Collins can be contacted via phone (714) 838-5610.Contact Information
Primary practice address
17400 Irvine Blvd Suite F
Tustin CA 92780-3030
Phone: (714) 838-5610
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | A061483 | California |
Profile Details
| NPI number | 1962544494 |
|---|---|
| LBN Legal business name | Motherway, Julia Collins |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 12th, 2007 |
| Last updated | May 22nd, 2009 - about 15 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 | 1962544494 | NPPES |
| California | Other | W1779 | MEDICARE GROUP PTAN |
| California | Other | WA61483D | MEDICARE GROUP PTAN |
| California | Other | 1689633125 | MEDICARE GROUP PTAN |
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