Roach, Julie L
Roach, Julie L is an individual health care provider with primary practice located at 300 1St Capitol Dr , Saint Charles MO 63301-2844. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Roach, Julie L can be contacted via phone (314) 989-3000.Contact Information
Primary practice address
300 1St Capitol Dr
Saint Charles MO 63301-2844
Phone: (314) 989-3000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 119638 | Missouri |
Profile Details
NPI number | 1023009545 |
---|---|
LBN Legal business name | Roach, Julie L |
Credentials | Certified Registered Nurse Anesthetist (CRNA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 3rd, 2005 |
Last updated | May 22nd, 2008 - about 17 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 | 1023009545 | NPPES |
Missouri | MEDICAID | 916778954 | |
Missouri | Other | P00178510 |
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