Provider Demographics
NPI:1023442381
Name:HALLOWELL, JULIE ANN (AP)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:ANN
Last Name:HALLOWELL
Suffix:
Gender:F
Credentials:AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4444 SWIFT RD
Mailing Address - Street 2:APT 12
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34231-2847
Mailing Address - Country:US
Mailing Address - Phone:941-928-3112
Mailing Address - Fax:
Practice Address - Street 1:4444 SWIFT RD
Practice Address - Street 2:APT 12
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34231-2847
Practice Address - Country:US
Practice Address - Phone:941-928-3112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-22
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3279171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist