Robertson, Julie Elisabeth

Robertson, Julie Elisabeth is an individual health care provider with primary practice located at 400 N State Of Franklin Rd , Johnson City TN 37604-6035. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Robertson, Julie Elisabeth can be contacted via phone (423) 431-6389.

Contact Information

Primary practice address
400 N State Of Franklin Rd Johnson City TN 37604-6035
Phone: (423) 431-6389
Fax: (423) 431-6331
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD0000034931 Tennessee

Profile Details

NPI number 1356316962
LBN Legal business name Robertson, Julie Elisabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2006
Last updated Feb 18th, 2008 - about 16 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 1356316962 NPPES
Tennessee MEDICAID 3866683
Tennessee Other 4027782
Tennessee MEDICAID 64039266
Tennessee MEDICAID 6609333

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