Tate, Julie Lynette
Tate, Julie Lynette is an sole proprietor health care provider with primary practice located at 1110 Se 30Th St , Bentonville AR 72712. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Tate, Julie Lynette can be contacted via phone (479) 282-2966.Contact Information
Primary practice address
1110 Se 30Th St
Bentonville AR 72712
Phone: (479) 282-2966
Fax: (479) 282-2967
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | E7529 | Arkansas |
Profile Details
| NPI number | 1578731154 |
|---|---|
| LBN Legal business name | Tate, Julie Lynette |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2008 |
| Last updated | Mar 8th, 2022 - about 4 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 | 1578731154 | NPPES |
| Arkansas | MEDICAID | 192425001 |
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