Provider Demographics
NPI:1700532348
Name:JULIA HOLLENBERG LLC
Entity Type:Organization
Organization Name:JULIA HOLLENBERG LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLENBERG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:206-507-8458
Mailing Address - Street 1:711 BELMONT PL E APT 103
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-4445
Mailing Address - Country:US
Mailing Address - Phone:206-507-8458
Mailing Address - Fax:
Practice Address - Street 1:711 BELMONT PL E APT 103
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-4445
Practice Address - Country:US
Practice Address - Phone:206-507-8458
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty