Provider Demographics
NPI:1578596557
Name:SOWERBY, JULIE A (DO)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:A
Last Name:SOWERBY
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 1:2062 TALBERT DR STE 300
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95928-7707
Mailing Address - Country:US
Mailing Address - Phone:530-924-4227
Mailing Address - Fax:530-566-1124
Practice Address - Street 1:2062 TALBERT DR STE 300
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-7707
Practice Address - Country:US
Practice Address - Phone:530-924-4227
Practice Address - Fax:530-566-1124
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-10
Last Update Date:2014-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20A7601207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH39458Medicare UPIN
CA020A76010Medicare ID - Type Unspecified