Sample, Julia

Sample, Julia is an individual health care provider with primary practice located at 17412 Lake Vista Dr , Greenwell Springs LA 70739-4757. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Sample, Julia can be contacted via phone (225) 907-8843.

Contact Information

Primary practice address
17412 Lake Vista Dr Greenwell Springs LA 70739-4757
Phone: (225) 907-8843
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1275290959
LBN Legal business name Sample, Julia
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2021
Last updated Nov 17th, 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 1275290959 NPPES
Louisiana MEDICAID 00000

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