Pulliam, Ian Thomas

Pulliam, Ian Thomas is an individual health care provider with primary practice located at 644 W 12Th St , Tracy CA 95376-3437. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Pulliam, Ian Thomas can be contacted via phone (209) 832-8984.

Contact Information

Primary practice address
644 W 12Th St Tracy CA 95376-3437
Phone: (209) 832-8984
Fax: (209) 832-8988
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 20A7496 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20A7496 California

Profile Details

NPI number 1245262682
LBN Legal business name Pulliam, Ian Thomas
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Mar 21st, 2011 - about 14 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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