Wettlaufer, Julie Ann

Wettlaufer, Julie Ann is an individual health care provider with primary practice located at 219 Bryant Street , Buffalo NY 14222-2006. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wettlaufer, Julie Ann can be contacted via phone (716) 878-7109.

Contact Information

Primary practice address
219 Bryant Street Buffalo NY 14222-2006
Fax: (716) 888-3917
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X F330455 New York

Profile Details

NPI number 1578520805
LBN Legal business name Wettlaufer, Julie Ann
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Oct 29th, 2008 - about 16 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 1578520805 NPPES
Other 000560224001 BC/BS
MEDICAID 0014387840001 BC/BS
MEDICAID 01299412 BC/BS
Other 040426001131 BC/BS
Other 00027160401 BC/BS
Other 9590313 BC/BS

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