Macneil, Julie

Macneil, Julie is an sole proprietor health care provider with primary practice located at 290 Western Blvd , Glastonbury CT 06033-1236. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Macneil, Julie can be contacted via phone (888) 344-0007.

Contact Information

Primary practice address
290 Western Blvd Glastonbury CT 06033-1236
Fax: (860) 652-9277
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X E-11029 Arkansas
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 62394 Connecticut

Profile Details

NPI number 1659766483
LBN Legal business name Macneil, Julie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2015
Last updated Jul 10th, 2019 - about 6 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 1659766483 NPPES
Arkansas MEDICAID 228937001

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