Provider Demographics
NPI:1306988878
Name:WRAY, JULIA EILEEN (DC)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:EILEEN
Last Name:WRAY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 S COLUMBUS ST
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-3603
Mailing Address - Country:US
Mailing Address - Phone:703-836-2225
Mailing Address - Fax:703-836-7172
Practice Address - Street 1:301 S COLUMBUS ST
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-3603
Practice Address - Country:US
Practice Address - Phone:703-836-2225
Practice Address - Fax:703-836-7172
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104-000996111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAWR120851Medicare ID - Type UnspecifiedMEDICARE PROVIDER #
VAU35273Medicare UPIN