Provider Demographics
NPI:1346357209
Name:DEER, JULIA ELAINE (DC)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:ELAINE
Last Name:DEER
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 1:32 S MAIN ST
Mailing Address - Street 2:PO BOX 48
Mailing Address - City:PIGEON
Mailing Address - State:MI
Mailing Address - Zip Code:48755-5103
Mailing Address - Country:US
Mailing Address - Phone:989-453-3030
Mailing Address - Fax:989-453-2302
Practice Address - Street 1:32 S MAIN ST
Practice Address - Street 2:
Practice Address - City:PIGEON
Practice Address - State:MI
Practice Address - Zip Code:48755-5103
Practice Address - Country:US
Practice Address - Phone:989-453-3030
Practice Address - Fax:989-453-2302
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2016-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301008938111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI950C210360OtherBLUE CROSS
MIJD008938OtherCOMMERCIAL INS.
MI4796966-14Medicaid
MIJD008938OtherCOMMERCIAL INS.
MIV02803Medicare UPIN