Healthcare Provider Details

I. General information

NPI: 1093909194
Provider Name (Legal Business Name): JULIE'S MEDICAL EQUIPMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2007
Last Update Date: 08/31/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1219 CAPTAIN CADE RD
NEW IBERIA LA
70560-0551
US

IV. Provider business mailing address

1219 CAPTAIN CADE RD
NEW IBERIA LA
70560-0551
US

V. Phone/Fax

Practice location:
  • Phone: 337-560-5105
  • Fax: 337-367-5773
Mailing address:
  • Phone: 337-560-5105
  • Fax: 337-367-5773

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JULIE ANNE LANDRY
Title or Position: OWNER
Credential:
Phone: 337-560-5105