Provider Demographics
NPI:1811315039
Name:HALL, JULIE
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:
Last Name:HALL
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 1:1021 SANDY HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:NEW BLOOMFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:17068-9220
Mailing Address - Country:US
Mailing Address - Phone:717-514-2735
Mailing Address - Fax:
Practice Address - Street 1:1021 SANDY HOLLOW RD
Practice Address - Street 2:
Practice Address - City:NEW BLOOMFIELD
Practice Address - State:PA
Practice Address - Zip Code:17068-9220
Practice Address - Country:US
Practice Address - Phone:717-514-2735
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-04
Last Update Date:2014-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175M00000XOther Service ProvidersMidwife, Lay