Provider Demographics
NPI:1972704823
Name:CARYL, JULIE ANN (DC)
Entity Type:Individual
Prefix:DR
First Name:JULIE ANN
Middle Name:
Last Name:CARYL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 ARDMORE BLVD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-4608
Mailing Address - Country:US
Mailing Address - Phone:412-273-3600
Mailing Address - Fax:412-273-3600
Practice Address - Street 1:2020 ARDMORE BLVD
Practice Address - Street 2:SUITE 202
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-4608
Practice Address - Country:US
Practice Address - Phone:412-273-3600
Practice Address - Fax:412-273-3600
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC005688R111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
U34925Medicare UPIN