Provider Demographics
NPI:1558343749
Name:HALPIN, JULIE L (PA C)
Entity Type:Individual
Prefix:MS
First Name:JULIE
Middle Name:L
Last Name:HALPIN
Suffix:
Gender:F
Credentials:PA C
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Mailing Address - Street 1:1260 VALLEY FORGE RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PHOENIXVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19460-2691
Mailing Address - Country:US
Mailing Address - Phone:610-983-3980
Mailing Address - Fax:610-983-3406
Practice Address - Street 1:1260 VALLEY FORGE RD
Practice Address - Street 2:SUITE 101
Practice Address - City:PHOENIXVILLE
Practice Address - State:PA
Practice Address - Zip Code:19460-2691
Practice Address - Country:US
Practice Address - Phone:610-983-3980
Practice Address - Fax:610-983-3406
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMA003642L363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
090059T15Medicare ID - Type Unspecified
P77412Medicare UPIN