Schleck, Julie Page

Schleck, Julie Page is an individual health care provider with primary practice located at 2600 Greenbush St , Lafayette IN 47904-2479. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Schleck, Julie Page can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Greenbush St Lafayette IN 47904-2479
Fax: (765) 448-7627
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01030408A Indiana

Profile Details

NPI number 1336108125
LBN Legal business name Schleck, Julie Page
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Jul 23rd, 2012 - about 12 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 1336108125 NPPES
Indiana Other 000000184794 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 100078520 ANTHEM PROVIDER NUMBER
Indiana Other 10825895 ANTHEM PROVIDER NUMBER
Indiana MEDICAID SC12879011 ANTHEM PROVIDER NUMBER
Indiana Other 9397453 ANTHEM PROVIDER NUMBER

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