Eberwein, Julie D

Eberwein, Julie D is an individual health care provider with primary practice located at 1903 Island Walkway , Fernandina Beach FL 32034-4797. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Eberwein, Julie D can be contacted via phone (904) 277-0027.

Contact Information

Primary practice address
1903 Island Walkway Fernandina Beach FL 32034-4797
Phone: (904) 277-0027
Fax: (407) 867-6261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 228 Florida
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Florida
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X MH9903 Florida

Profile Details

NPI number 1295972313
LBN Legal business name Eberwein, Julie D
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2009
Last updated Mar 9th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295972313 NPPES
Florida MEDICAID 1164581633

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