Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2080P0216X | Pediatric Rheumatologist | 55537 | KY |
N | 2080P0216X | Pediatric Rheumatologist | MT215516 | PA |
N | 2080P0216X | Pediatric Rheumatologist | TP988 | KY |
NPI | 1063808376 |
---|---|
Provider Name | Dr. Julie Michelle Chase |
First Address | Philadelphia, PA 19104-4319 |
Second Address | Lexington, KY 40536 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2015 |
Last Update Date | 25/06/2021 |