Provider Demographics
NPI:1588427934
Name:JULIE STEFANSKI, D.C., CHIROPRACTIC CORPORATION
Entity type:Organization
Organization Name:JULIE STEFANSKI, D.C., CHIROPRACTIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:STEFANSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-650-4461
Mailing Address - Street 1:2830 NEWPORT BLVD
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92663-3724
Mailing Address - Country:US
Mailing Address - Phone:719-650-4461
Mailing Address - Fax:949-608-3611
Practice Address - Street 1:2830 NEWPORT BLVD
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92663-3724
Practice Address - Country:US
Practice Address - Phone:719-650-4461
Practice Address - Fax:949-608-3611
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-30
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No261Q00000XAmbulatory Health Care FacilitiesClinic/Center