Provider Demographics
NPI:1245847250
Name:SCHWARTZ, JULIE L
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:L
Last Name:SCHWARTZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12345 STAFFORD RD
Mailing Address - Street 2:
Mailing Address - City:NEW CARLISLE
Mailing Address - State:OH
Mailing Address - Zip Code:45344-9572
Mailing Address - Country:US
Mailing Address - Phone:937-450-5054
Mailing Address - Fax:
Practice Address - Street 1:12345 STAFFORD RD
Practice Address - Street 2:
Practice Address - City:NEW CARLISLE
Practice Address - State:OH
Practice Address - Zip Code:45344-9572
Practice Address - Country:US
Practice Address - Phone:937-450-5054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-24
Last Update Date:2020-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care