Rayburn, Julie Ann
Rayburn, Julie Ann is an individual health care provider with primary practice located at 2720 Plaza Dr Suite 1100, Wausau WI 54401-4158. 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. Rayburn, Julie Ann can be contacted via phone (715) 847-2472.Contact Information
Primary practice address
2720 Plaza Dr Suite 1100
Wausau WI 54401-4158
Phone: (715) 847-2472
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 867 | Wisconsin |
Profile Details
| NPI number | 1184654899 |
|---|---|
| LBN Legal business name | Rayburn, Julie Ann |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Apr 1st, 2021 - about 3 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 | 1184654899 | NPPES |
| Wisconsin | MEDICAID | 42957100 |
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