Gresham, Julia Annette

Gresham, Julia Annette is an individual health care provider with primary practice located at 13677 W Mcdowell Rd , Goodyear AZ 85338-2618. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Gresham, Julia Annette can be contacted via phone (623) 882-1500.

Contact Information

Primary practice address
13677 W Mcdowell Rd Goodyear AZ 85338-2618
Phone: (623) 882-1500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1620 Arizona

Profile Details

NPI number 1295716306
LBN Legal business name Gresham, Julia Annette
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Feb 21st, 2014 - about 11 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 1295716306 NPPES
Arizona Other AW1436 HEALTHNET GRP NUMBER
Arizona Other 453051001 HEALTHNET GRP NUMBER
Arizona MEDICAID 546301 HEALTHNET GRP NUMBER
Arizona Other 3981220 HEALTHNET GRP NUMBER
Arizona Other 860373636 HEALTHNET GRP NUMBER

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