Nodsle, Julie Ann

Nodsle, Julie Ann is an individual health care provider with primary practice located at 803 Roosevelt Ave # 301, Detroit Lakes MN 56501-3744. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Nodsle, Julie Ann can be contacted via phone (218) 844-5555.

Contact Information

Primary practice address
803 Roosevelt Ave # 301 Detroit Lakes MN 56501-3744
Phone: (218) 844-5555
Fax: (218) 844-6057
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 101251 Minnesota

Profile Details

NPI number 1043346620
LBN Legal business name Nodsle, Julie Ann
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated May 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043346620 NPPES
Minnesota Other 088S4N0 BLUE CROSS BLUE SHIELD
Minnesota Other 29111 BLUE CROSS BLUE SHIELD
Minnesota MEDICAID 073878600 BLUE CROSS BLUE SHIELD

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