Schaefer, Julie

Schaefer, Julie is an individual health care provider with primary practice located at 2300 E 30Th St Bldg B, Suite 102, Farmington NM 87401-8990. 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. Schaefer, Julie can be contacted via phone (505) 324-1000.

Contact Information

Primary practice address
2300 E 30Th St Bldg B, Suite 102 Farmington NM 87401-8990
Phone: (505) 324-1000
Fax: (505) 324-1199
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X #99-PA25 New Mexico

Profile Details

NPI number 1225050651
LBN Legal business name Schaefer, Julie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jan 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225050651 NPPES
New Mexico MEDICAID 77719
New Mexico Other PROVP16197
New Mexico Other NM003000

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