Blandin, Julie L

Blandin, Julie L is an sole proprietor health care provider with primary practice located at 2830 Virginia Beach Blvd , Virginia Beach VA 23452-7614. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Blandin, Julie L can be contacted via phone (757) 416-6700.

Contact Information

Primary practice address
2830 Virginia Beach Blvd Virginia Beach VA 23452-7614
Phone: (757) 416-6700
Fax: (757) 416-7777
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305204000 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 38183 California

Profile Details

NPI number 1124080551
LBN Legal business name Blandin, Julie L
Credentials MPT, ATC, CSCS, PRC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 3rd, 2006
Last updated Mar 14th, 2016 - about 10 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 1124080551 NPPES
Other 7883577 AETNA
MEDICAID 010125511 AETNA
Other 192933 AETNA
Other P00175699 AETNA

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