Pham, Julie K

Pham, Julie K is an individual health care provider with primary practice located at 2115 S Fremont Ave Ste 3300 , Springfield MO 65804-2246. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Pham, Julie K can be contacted via phone (417) 820-5200.

Contact Information

Primary practice address
2115 S Fremont Ave Ste 3300 Springfield MO 65804-2246
Phone: (417) 820-5200
Fax: (214) 820-0993
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 732590 Texas
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2020024188 Missouri

Profile Details

NPI number 1376877381
LBN Legal business name Pham, Julie K
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2009
Last updated Oct 19th, 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 1376877381 NPPES
Texas MEDICAID 206467703
Texas MEDICAID 206467704
Texas MEDICAID 206467702
Texas MEDICAID 206467705
Texas MEDICAID 206467701

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