Individual
JULIA LYNN PASQUALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1901 ARGONNE RD, PORTSMOUTH, OH 45662-2827
(740) 991-0911
(740) 991-6050
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01621
WV
207P00000X
Emergency Medicine Physician
Primary
35.096789
OH
207R00000X
Internal Medicine Physician
35.096789
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000477502
OH MEDICAID UNISON
OH
05
—
2779408
—
OH
01
—
P00387444
MEDICARE-RR PROVIDER NUMBER
—
Enumeration date
03/28/2007
Last updated
02/12/2018
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