Healthcare Provider Details

I. General information

NPI: 1588757140
Provider Name (Legal Business Name): JULIA HEYA KARCIC DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 08/31/2020
Certification Date: 08/31/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1611 PEACH ST STE 290
ERIE PA
16501-2126
US

IV. Provider business mailing address

1611 PEACH ST STE 290
ERIE PA
16501-2126
US

V. Phone/Fax

Practice location:
  • Phone: 814-868-3488
  • Fax: 814-868-3499
Mailing address:
  • Phone:
  • Fax: 814-868-2522

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License NumberSC003624L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: