Provider Demographics
NPI:1235708470
Name:SINOPLE, JULIA ALEXANDRIA
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:ALEXANDRIA
Last Name:SINOPLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1055 WAYZATA BLVD E
Mailing Address - Street 2:
Mailing Address - City:WAYZATA
Mailing Address - State:MN
Mailing Address - Zip Code:55391-1000
Mailing Address - Country:US
Mailing Address - Phone:952-473-8831
Mailing Address - Fax:
Practice Address - Street 1:1055 WAYZATA BLVD E
Practice Address - Street 2:
Practice Address - City:WAYZATA
Practice Address - State:MN
Practice Address - Zip Code:55391-1000
Practice Address - Country:US
Practice Address - Phone:952-473-8831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN745560183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN745560Medicaid