Duncan, Ulric Dave

Duncan, Ulric Dave is an individual health care provider with primary practice located at 9140 Highway 51 N , Southaven MS 38671-1233. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Duncan, Ulric Dave can be contacted via phone (662) 280-8222.

Contact Information

Primary practice address
9140 Highway 51 N Southaven MS 38671-1233
Phone: (662) 280-8222
Fax: (662) 280-5541
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 15684 Mississippi

Profile Details

NPI number 1518908854
LBN Legal business name Duncan, Ulric Dave
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated May 23rd, 2012 - about 12 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 1518908854 NPPES
Tennessee Other 3050626 BCBS TN
Tennessee MEDICAID 00119038 BCBS TN
Tennessee MEDICAID 4045819 BCBS TN

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