Healthcare Provider Details

I. General information

NPI: 1215397799
Provider Name (Legal Business Name): JULIA HELSTROM INTEGRATIVE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2016
Last Update Date: 02/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 S CLINTON ST SUITE 101
DOYLESTOWN PA
18901-4220
US

IV. Provider business mailing address

588 CHAMPIONSHIP DR
HARLEYSVILLE PA
19438-2177
US

V. Phone/Fax

Practice location:
  • Phone: 267-454-7262
  • Fax: 267-454-7628
Mailing address:
  • Phone: 610-715-3320
  • Fax: 267-454-7628

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS014415
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DR. JULIA MAE HELSTROM
Title or Position: OWNER
Credential: D.O.
Phone: 610-715-3320