Van Der Feen, Julie R
Van Der Feen, Julie R is an individual health care provider with primary practice located at 115 Mill St , Belmont MA 02478-1064. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Van Der Feen, Julie R can be contacted via phone (617) 855-2834.Contact Information
Primary practice address
115 Mill St
Belmont MA 02478-1064
Phone: (617) 855-2834
Fax: (617) 855-3754
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 75142 | Massachusetts |
Profile Details
| NPI number | 1912012691 |
|---|---|
| LBN Legal business name | Van Der Feen, Julie R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Aug 3rd, 2010 - about 16 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 | 1912012691 | NPPES |
| Massachusetts | MEDICAID | 110052782/A | |
| Massachusetts | Other | J3025301 |
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