Healthcare Provider Details

I. General information

NPI: 1376632331
Provider Name (Legal Business Name): JULIE JOANNE HATTIER D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JULI HATTIER

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 01/03/2025
Certification Date: 01/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 ATLANTIC AVE
MILLVILLE DE
19967-6709
US

IV. Provider business mailing address

550 ATLANTIC AVE
MILLVILLE DE
19967-6709
US

V. Phone/Fax

Practice location:
  • Phone: 302-537-8318
  • Fax: 302-539-8736
Mailing address:
  • Phone: 302-537-8318
  • Fax: 302-539-8736

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberC2 0006548
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: