Ulbrich, Mark Steven
Ulbrich, Mark Steven is an individual health care provider with primary practice located at 306 Saint Joseph Dr , Bloomington IL 61701-3506. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ulbrich, Mark Steven can be contacted via phone (309) 663-2354.Contact Information
Primary practice address
306 Saint Joseph Dr
Bloomington IL 61701-3506
Phone: (309) 663-2354
Fax: (309) 662-8602
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 030675395 | Illinois |
Profile Details
| NPI number | 1578511390 |
|---|---|
| LBN Legal business name | Ulbrich, Mark Steven |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Jul 29th, 2013 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578511390 | NPPES |
| Illinois | MEDICAID | 036075395 |
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