Wattenberg, Julie Ann

Wattenberg, Julie Ann is an sole proprietor health care provider with primary practice located at 13909 Briar Ln , Plainfield IL 60544-7563. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Wattenberg, Julie Ann can be contacted via phone (690) 319-3872.

Contact Information

Primary practice address
13909 Briar Ln Plainfield IL 60544-7563
Phone: (690) 319-3872
Fax: (815) 733-6573
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X 070-012852 Illinois

Profile Details

NPI number 1063438703
LBN Legal business name Wattenberg, Julie Ann
Credentials M.P.T., D.P.T.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 14th, 2006
Last updated Apr 25th, 2013 - 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 1063438703 NPPES
Illinois Other 02232772 BLUE CROSS BLUE SHIELD

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