Provider Demographics
NPI:1144284530
Name:STEWART, JULIE MARIE (DC)
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:MARIE
Last Name:STEWART
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:MARIE
Other - Last Name:STEWARTBEARDEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:417 S ASSOCIATED RD # 248
Mailing Address - Street 2:
Mailing Address - City:BREA
Mailing Address - State:CA
Mailing Address - Zip Code:92821-5802
Mailing Address - Country:US
Mailing Address - Phone:714-325-6163
Mailing Address - Fax:
Practice Address - Street 1:1050 E YORBA LINDA BLVD STE 104
Practice Address - Street 2:
Practice Address - City:PLACENTIA
Practice Address - State:CA
Practice Address - Zip Code:92870-3749
Practice Address - Country:US
Practice Address - Phone:714-325-6163
Practice Address - Fax:714-325-6163
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA26588111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor