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:
Health care specialties
| Specialty | Code | License # | 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 9 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 | 1124080551 | NPPES |
| Other | 7883577 | AETNA | |
| MEDICAID | 010125511 | AETNA | |
| Other | 192933 | AETNA | |
| Other | P00175699 | AETNA |
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