Pawliuk, Justine Elaine Wiley

Pawliuk, Justine Elaine Wiley is an individual health care provider with primary practice located at 1060 Emeline Ave , Santa Cruz CA 95060-1966. She recently has only one registered license in Nursing Service Providers / Community Health, which is considered as her primary health care specialty. Pawliuk, Justine Elaine Wiley can be contacted via phone (831) 454-4339.

Contact Information

Primary practice address
1060 Emeline Ave Santa Cruz CA 95060-1966
Phone: (831) 454-4339
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Community Health 163WC1500X 765774 California

Profile Details

NPI number 1992103139
LBN Legal business name Pawliuk, Justine Elaine Wiley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2014
Last updated Mar 26th, 2021 - about 4 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 1992103139 NPPES
California Other 70042F FQHC

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