Whitaker, Julie Kay

Whitaker, Julie Kay is an individual health care provider with primary practice located at 53880 Carmichael Dr , South Bend IN 46635-1567. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Whitaker, Julie Kay can be contacted via phone (574) 247-9441.

Contact Information

Primary practice address
53880 Carmichael Dr South Bend IN 46635-1567
Phone: (574) 247-9441
Fax: (574) 247-9442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10002909A Indiana

Profile Details

NPI number 1376593160
LBN Legal business name Whitaker, Julie Kay
Credentials MPA-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Mar 5th, 2020 - about 5 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 1376593160 NPPES
Indiana Other 10002909A INDIANA LICENSING AGENCY

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