Zevallos, Julia M
Zevallos, Julia M is an individual health care provider with primary practice located at 1400 Us Highway 61 Suite 150, Festus MO 63028-4100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Zevallos, Julia M can be contacted via phone (636) 931-6090.Contact Information
Primary practice address
1400 Us Highway 61 Suite 150
Festus MO 63028-4100
Phone: (636) 931-6090
Fax: (636) 933-9509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 200160887 | Missouri |
Profile Details
| NPI number | 1255426755 |
|---|---|
| LBN Legal business name | Zevallos, Julia M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Mar 23rd, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255426755 | NPPES |
| Missouri | Other | P00400998 | RAILROAD MEDICARE PIN |
| Missouri | MEDICAID | 208320002 | RAILROAD MEDICARE PIN |
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