Massoth, Julie T
Massoth, Julie T is an individual health care provider with primary practice located at 253 Sagamore Pkwy W , West Lafayette IN 47906-1501. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Massoth, Julie T can be contacted via phone (812) 996-0323.Contact Information
Primary practice address
253 Sagamore Pkwy W
West Lafayette IN 47906-1501
Phone: (812) 996-0323
Fax: (812) 996-0321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3010177 | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71006755A | Indiana |
Profile Details
| NPI number | 1730623604 |
|---|---|
| LBN Legal business name | Massoth, Julie T |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2016 |
| Last updated | Jun 2nd, 2026 - about 4 months 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 | 1730623604 | NPPES |
| Indiana | MEDICAID | 300017189 |
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