Ulbrich Family Medicine, Llc | |
2301 S Highway 65 Suite 2 Marshall MO 65340-3702 | |
(660) 631-3386 | |
Not Available |
Full Name | Ulbrich Family Medicine, Llc |
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Speciality | Family Medicine |
Location | 2301 S Highway 65, Marshall, Missouri |
Authorized Official Name and Position | Jamie Grant Ulbrich (OWNER) |
Authorized Official Contact | 6606313386 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ulbrich Family Medicine, Llc 2301 S Highway 65 Suite 2 Marshall MO 65340-3702 Ph: (660) 631-3386 | Ulbrich Family Medicine, Llc 2301 S Highway 65 Suite 2 Marshall MO 65340-3702 Ph: (660) 631-3386 |
NPI Number | 1144693870 |
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Provider Enumeration Date | 11/03/2015 |
Last Update Date | 12/22/2015 |
Medicare PECOS PAC ID | 6507167509 |
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Medicare Enrollment ID | O20151216002232 |
Identifier | Type | State | Issuer |
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1144693870 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | MD105523 (Missouri) | Primary |
Provider Name | Jamie G Ulbrich |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447292776 PECOS PAC ID: 0648303057 Enrollment ID: I20100805000923 |
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Katy Trail - Marshall School Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 313 E Eastwood St, Marshall, MO 65340 Phone: 660-886-7100 | |
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D. J. Fahnestock, D. C., P. C. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 269 S Jefferson Ave, Marshall, MO 65340 Phone: 660-886-6903 Fax: 660-886-6904 |