Provider Demographics
NPI:1326672585
Name:GALLUS, JULIE CHRISTINE (DC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:CHRISTINE
Last Name:GALLUS
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 1:25407 WALKERS LANDING CT
Mailing Address - Street 2:
Mailing Address - City:N DINWIDDIE
Mailing Address - State:VA
Mailing Address - Zip Code:23803-6577
Mailing Address - Country:US
Mailing Address - Phone:901-233-8151
Mailing Address - Fax:
Practice Address - Street 1:320A CHARLES H DIMMOCK PKWY STE 4&5
Practice Address - Street 2:
Practice Address - City:COLONIAL HEIGHTS
Practice Address - State:VA
Practice Address - Zip Code:23834-2917
Practice Address - Country:US
Practice Address - Phone:804-652-9322
Practice Address - Fax:804-520-6311
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-26
Last Update Date:2020-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0104557482111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor