Provider Demographics
NPI:1174849533
Name:COMER, JULIE
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:COMER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:RUSHVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46173-1839
Mailing Address - Country:US
Mailing Address - Phone:765-938-2027
Mailing Address - Fax:765-938-1238
Practice Address - Street 1:119 E 3RD ST
Practice Address - Street 2:
Practice Address - City:RUSHVILLE
Practice Address - State:IN
Practice Address - Zip Code:46173-1839
Practice Address - Country:US
Practice Address - Phone:765-938-2027
Practice Address - Fax:765-938-1238
Is Sole Proprietor?:No
Enumeration Date:2010-04-10
Last Update Date:2014-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No235500000XSpeech, Language and Hearing Service ProvidersSpecialist/Technologist
No237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist
No246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other