Julien, Reginald E

Julien, Reginald E is an individual health care provider with primary practice located at 835 S Van Buren St , Green Bay WI 54301-3526. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Julien, Reginald E can be contacted via phone (920) 433-0111.

Contact Information

Primary practice address
835 S Van Buren St Green Bay WI 54301-3526
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 49592-020 Wisconsin
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 49592-020 Wisconsin

Profile Details

NPI number 1033272208
LBN Legal business name Julien, Reginald E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Dec 27th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033272208 NPPES
Wisconsin MEDICAID 34746500

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