Wynne, Julie L.
Wynne, Julie L. is an sole proprietor health care provider with primary practice located at 999 N Curtis Rd Ste 415 , Boise ID 83706-1334. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is her primary health care specialty. Wynne, Julie L. can be contacted via phone (208) 302-2600.Contact Information
Primary practice address
999 N Curtis Rd Ste 415
Boise ID 83706-1334
Phone: (208) 302-2600
Fax: (208) 302-2625
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD61046959 | Washington |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 40815 | Arizona |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | MD61046959 | Washington |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 40815 | Arizona |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 40815 | Arizona |
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | MC-2824 | Idaho |
Profile Details
| NPI number | 1336115401 |
|---|---|
| LBN Legal business name | Wynne, Julie L. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Jun 5th, 2024 - about last year |
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 | 1336115401 | NPPES |
| Arizona | MEDICAID | 349220 |
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