Provider Demographics
NPI:1710320700
Name:BIBLEHEIMER, JULIE (MAOM)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:BIBLEHEIMER
Suffix:
Gender:F
Credentials:MAOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 A ST STE 1
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97520-1970
Mailing Address - Country:US
Mailing Address - Phone:541-326-8181
Mailing Address - Fax:
Practice Address - Street 1:325 A ST STE 1
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OR
Practice Address - Zip Code:97520-1970
Practice Address - Country:US
Practice Address - Phone:541-326-8181
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-09
Last Update Date:2013-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR162384171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist