Walker, Julienne Antionette
Walker, Julienne Antionette is an sole proprietor health care provider with primary practice located at 236 E Westfield Ave Ste 104 , Roselle Park NJ 07204-2084. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Walker, Julienne Antionette can be contacted via phone (908) 445-8687.Contact Information
Primary practice address
236 E Westfield Ave Ste 104
Roselle Park NJ 07204-2084
Phone: (908) 445-8687
Fax: (908) 259-5191
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | TUV005881 | New York |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 27OA00645700 | New Jersey |
Profile Details
| NPI number | 1679533137 |
|---|---|
| LBN Legal business name | Walker, Julienne Antionette |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 27th, 2006 |
| Last updated | Jun 10th, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679533137 | NPPES |
| New York | MEDICAID | 01782214 | |
| New York | MEDICAID | 0513466 |
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