Swanson, Julia D

Swanson, Julia D is an individual health care provider with primary practice located at 1500 Salem St , Lafayette IN 47904-2164. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Swanson, Julia D can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
1500 Salem St Lafayette IN 47904-2164
Phone: (765) 448-8000
Fax: (765) 448-8337
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01055782A Indiana
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 32798 Iowa

Profile Details

NPI number 1356301717
LBN Legal business name Swanson, Julia D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2006
Last updated Dec 9th, 2011 - about 14 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 1356301717 NPPES
Indiana Other 000000636188 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200423590 ANTHEM PROVIDER NUMBER
Indiana Other 37298 ANTHEM PROVIDER NUMBER

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