Provider Demographics
NPI:1104883925
Name:CAHILL, JULIE E (MD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:E
Last Name:CAHILL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:E
Other - Last Name:MCGINNIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:16201 DOG PEN RD
Mailing Address - Street 2:
Mailing Address - City:LA MONTE
Mailing Address - State:MO
Mailing Address - Zip Code:65337-3130
Mailing Address - Country:US
Mailing Address - Phone:660-827-2883
Mailing Address - Fax:660-827-1359
Practice Address - Street 1:3401 W 10TH ST
Practice Address - Street 2:
Practice Address - City:SEDALIA
Practice Address - State:MO
Practice Address - Zip Code:65301-2112
Practice Address - Country:US
Practice Address - Phone:660-827-2883
Practice Address - Fax:660-827-1359
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2001012055207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO068B762Medicare ID - Type Unspecified
MOH59570Medicare UPIN