Ludlum, Julie Renee

Ludlum, Julie Renee is an individual health care provider with primary practice located at 2709 Broadway St , Pekin IL 61554-2676. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Ludlum, Julie Renee can be contacted via phone (309) 680-7600.

Contact Information

Primary practice address
2709 Broadway St Pekin IL 61554-2676
Phone: (309) 680-7600
Fax: (309) 353-3334
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 209018051 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 041281867 Illinois

Profile Details

NPI number 1376021469
LBN Legal business name Ludlum, Julie Renee
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2018
Last updated Sep 27th, 2018 - about 8 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 1376021469 NPPES
Illinois Other 041281867 IL RN LICENSE

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