Provider Demographics
NPI:1376632331
Name:HATTIER, JULI JOANNE (DO)
Entity Type:Individual
Prefix:
First Name:JULI
Middle Name:JOANNE
Last Name:HATTIER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:550 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:MILLVILLE
Mailing Address - State:DE
Mailing Address - Zip Code:19967-6709
Mailing Address - Country:US
Mailing Address - Phone:302-537-8318
Mailing Address - Fax:302-539-8736
Practice Address - Street 1:550 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:MILLVILLE
Practice Address - State:DE
Practice Address - Zip Code:19967-6709
Practice Address - Country:US
Practice Address - Phone:302-537-8318
Practice Address - Fax:302-539-8736
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC2 0006548207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
491572Medicare ID - Type Unspecified
E27671Medicare UPIN