Provider Demographics
NPI:1306121660
Name:SOKOLOW, JULIE (NP)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:SOKOLOW
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:317 S DRAKE RD STE B
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-1171
Mailing Address - Country:US
Mailing Address - Phone:269-324-5100
Mailing Address - Fax:269-353-6318
Practice Address - Street 1:317 S DRAKE RD STE B
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-1171
Practice Address - Country:US
Practice Address - Phone:269-324-5100
Practice Address - Fax:269-353-6318
Is Sole Proprietor?:No
Enumeration Date:2011-10-19
Last Update Date:2014-01-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704152682363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology