Provider Demographics
NPI:1346657996
Name:JULIA HELSTROM OSTEOPATHIC, LLC
Entity Type:Organization
Organization Name:JULIA HELSTROM OSTEOPATHIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:MAE
Authorized Official - Last Name:HELSTROM
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:610-715-3320
Mailing Address - Street 1:3502 SCOTTS LN
Mailing Address - Street 2:BUILDING 1, SUITE 112, MAILBOX B4
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19129-1561
Mailing Address - Country:US
Mailing Address - Phone:267-437-3299
Mailing Address - Fax:267-437-2422
Practice Address - Street 1:3502 SCOTTS LN
Practice Address - Street 2:BUILDING 1, SUITE 112, MAILBOX B4
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19129-1561
Practice Address - Country:US
Practice Address - Phone:267-437-3299
Practice Address - Fax:267-437-2422
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-15
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS014415261QM1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty