Provider Demographics
NPI: | 1346266483 |
---|---|
Name: | HELLER, JULIE CHRISTINE OSBORNE (MD) |
Entity type: | Individual |
Prefix: | DR |
First Name: | JULIE |
Middle Name: | CHRISTINE OSBORNE |
Last Name: | HELLER |
Suffix: | |
Gender: | F |
Credentials: | MD |
Other - Prefix: | |
Other - First Name: | JULIE |
Other - Middle Name: | CHRISTINE |
Other - Last Name: | OSBORNE |
Other - Suffix: | |
Other - Last Name Type: | Former Name |
Other - Credentials: | MD |
Mailing Address - Street 1: | 10350 E DAKOTA AVE |
Mailing Address - Street 2: | |
Mailing Address - City: | DENVER |
Mailing Address - State: | CO |
Mailing Address - Zip Code: | 80247-1314 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 2045 N FRANKLIN ST |
Practice Address - Street 2: | |
Practice Address - City: | DENVER |
Practice Address - State: | CO |
Practice Address - Zip Code: | 80205-5437 |
Practice Address - Country: | US |
Practice Address - Phone: | 303-338-4545 |
Practice Address - Fax: | |
Is Sole Proprietor?: | No |
Enumeration Date: | 2006-07-14 |
Last Update Date: | 2023-09-15 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
CO | 44772 | 208M00000X |
CO | DR.0044772 | 207RG0100X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
No | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
CO | 029467 | Other | KAISER COMMERCIAL NUMBER |
CO | 68227043 | Medicaid |