Provider Demographics
NPI:1699804898
Name:HARTMAN, JULIE A (D C)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:A
Last Name:HARTMAN
Suffix:
Gender:F
Credentials:D C
Other - Prefix:DR
Other - First Name:JULIE
Other - Middle Name:A
Other - Last Name:KRUSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:D C
Mailing Address - Street 1:6180 LINWORTH RD
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2812
Mailing Address - Country:US
Mailing Address - Phone:614-848-5211
Mailing Address - Fax:614-848-0392
Practice Address - Street 1:6180 LINWORTH RD
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2812
Practice Address - Country:US
Practice Address - Phone:614-848-5211
Practice Address - Fax:614-848-0392
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2009-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3794111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor