Provider Demographics
NPI:1427663632
Name:JULIA-HEYA KARCIC DPM LLC
Entity type:Organization
Organization Name:JULIA-HEYA KARCIC DPM LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JULIA-HEYA
Authorized Official - Middle Name:
Authorized Official - Last Name:KARCIC
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:814-882-2663
Mailing Address - Street 1:223 W 7TH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16501-1601
Mailing Address - Country:US
Mailing Address - Phone:724-448-2717
Mailing Address - Fax:
Practice Address - Street 1:1611 PEACH ST STE 290
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16501-2126
Practice Address - Country:US
Practice Address - Phone:814-882-2663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-09-14
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric