Provider Demographics
NPI:1750482030
Name:JULIAN, NICHOLAS J JR (DC)
Entity Type:Individual
Prefix:
First Name:NICHOLAS
Middle Name:J
Last Name:JULIAN
Suffix:JR
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:38 POND ST
Mailing Address - Street 2:SUITE 206
Mailing Address - City:FRANKLIN
Mailing Address - State:MA
Mailing Address - Zip Code:02038-3807
Mailing Address - Country:US
Mailing Address - Phone:508-528-7616
Mailing Address - Fax:508-541-6234
Practice Address - Street 1:38 POND ST
Practice Address - Street 2:SUITE 206
Practice Address - City:FRANKLIN
Practice Address - State:MA
Practice Address - Zip Code:02038-3807
Practice Address - Country:US
Practice Address - Phone:508-528-7616
Practice Address - Fax:508-541-6234
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2012-11-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA803111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI3539-2OtherBCBS OF RI
MA708022OtherTUFTS HEALTH PLAN
MAY35578OtherBCBS INDIV. PROV #
MA351370OtherHARVARD PILGRIM
RI3539-2OtherBCBS OF RI
MAT58263Medicare UPIN