Tarullo, David B

Tarullo, David B is an individual health care provider with primary practice located at 1233 E 2Nd St , Casper WY 82601-2926. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Tarullo, David B can be contacted via phone (307) 577-2222.

Contact Information

Primary practice address
1233 E 2Nd St Casper WY 82601-2926
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 9672A Wyoming

Profile Details

NPI number 1295034874
LBN Legal business name Tarullo, David B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2011
Last updated Mar 22nd, 2019 - about 5 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 1295034874 NPPES
Wyoming MEDICAID 137545800
Wyoming MEDICAID 455399

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