Provider Demographics
NPI:1578158556
Name:JULIA AUGUSTYNIAK DC LLC
Entity Type:Organization
Organization Name:JULIA AUGUSTYNIAK DC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:ELLEN
Authorized Official - Last Name:AUGUSTYNIAK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:734-308-2729
Mailing Address - Street 1:24347 BRENTWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BROWNSTOWN
Mailing Address - State:MI
Mailing Address - Zip Code:48183-5432
Mailing Address - Country:US
Mailing Address - Phone:734-308-2729
Mailing Address - Fax:
Practice Address - Street 1:2836 W JEFFERSON AVE STE 111
Practice Address - Street 2:
Practice Address - City:TRENTON
Practice Address - State:MI
Practice Address - Zip Code:48183-2902
Practice Address - Country:US
Practice Address - Phone:734-308-2729
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-02
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty