Provider Demographics
NPI:1952635559
Name:BAUMHOFER, JULIE MEGAN (LAC)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:MEGAN
Last Name:BAUMHOFER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2390 MISSION ST
Mailing Address - Street 2:STE. 301
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-1872
Mailing Address - Country:US
Mailing Address - Phone:415-282-7246
Mailing Address - Fax:415-282-7246
Practice Address - Street 1:2390 MISSION ST
Practice Address - Street 2:STE. 301
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-1872
Practice Address - Country:US
Practice Address - Phone:415-282-7246
Practice Address - Fax:415-282-7246
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-29
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC 11877171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist