Provider Demographics
NPI:1831650308
Name:JULIE C. PLANTE, MD, INC.
Entity Type:Organization
Organization Name:JULIE C. PLANTE, MD, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DERMATOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:CHRISTINE
Authorized Official - Last Name:PLANTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:707-542-5664
Mailing Address - Street 1:PO BOX 5454
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA
Mailing Address - State:CA
Mailing Address - Zip Code:95402-5454
Mailing Address - Country:US
Mailing Address - Phone:415-260-3824
Mailing Address - Fax:707-542-6887
Practice Address - Street 1:864 2ND ST STE B
Practice Address - Street 2:
Practice Address - City:SANTA ROSA
Practice Address - State:CA
Practice Address - Zip Code:95404-4610
Practice Address - Country:US
Practice Address - Phone:707-542-5664
Practice Address - Fax:707-542-6887
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-27
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty