Provider Demographics
NPI:1578774410
Name:JULIEN, DONALD EDWARD (DC)
Entity Type:Individual
Prefix:DR
First Name:DONALD
Middle Name:EDWARD
Last Name:JULIEN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10800 EAST BETHANY DR.
Mailing Address - Street 2:SUITE 275
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2660
Mailing Address - Country:US
Mailing Address - Phone:303-696-0400
Mailing Address - Fax:303-368-4321
Practice Address - Street 1:10800 EAST BETHANY DR.
Practice Address - Street 2:SUITE 275
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-2660
Practice Address - Country:US
Practice Address - Phone:303-696-0400
Practice Address - Fax:303-368-4321
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4096111N00000X
CA19859111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor