Provider Demographics
NPI:1295752046
Name:KEISER, JULIA A (DC)
Entity type:Individual
Prefix:DR
First Name:JULIA
Middle Name:A
Last Name:KEISER
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 1:6180 LINWORTH RD
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2812
Mailing Address - Country:US
Mailing Address - Phone:614-848-5211
Mailing Address - Fax:614-848-0392
Practice Address - Street 1:6180 LINWORTH RD
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2812
Practice Address - Country:US
Practice Address - Phone:614-848-5211
Practice Address - Fax:614-848-0392
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1297111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1297OtherNGS
OH4375152OtherAETNA
OH000000118981OtherANTHEM
OH000000118981OtherUNICARE
OH0773382Medicaid
OH311549745-014OtherKLAIS & CO.
OH311201162-00OtherWORKERS' COMPENSATION
OH4375152OtherAETNA
OHKE9372611Medicare PIN