Provider Demographics
NPI:1841275583
Name:STEBER, JULIE M (REGISTERED DIETICIAN)
Entity type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:M
Last Name:STEBER
Suffix:
Gender:F
Credentials:REGISTERED DIETICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 398
Mailing Address - Street 2:40 BOYLE CO HEALTH DEPT
Mailing Address - City:DANVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40423-0398
Mailing Address - Country:US
Mailing Address - Phone:859-236-2053
Mailing Address - Fax:859-236-2863
Practice Address - Street 1:448 SOUTH 3RD ST
Practice Address - Street 2:BOYLE CO HEALTH DEPT
Practice Address - City:DANVILLE
Practice Address - State:KY
Practice Address - Zip Code:40422
Practice Address - Country:US
Practice Address - Phone:859-236-2053
Practice Address - Fax:859-236-2863
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY0200133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY20011011Medicaid
0280103Medicare ID - Type Unspecified