Ullom, Jody Lynn

Ullom, Jody Lynn is an individual health care provider with primary practice located at 1004 Northgate Dr , San Rafael CA 94903-2502. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ullom, Jody Lynn can be contacted via phone (415) 590-6150.

Contact Information

Primary practice address
1004 Northgate Dr San Rafael CA 94903-2502
Phone: (415) 590-6150
Fax: (415) 578-3118
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X G77729 California

Profile Details

NPI number 1417916990
LBN Legal business name Ullom, Jody Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2006
Last updated May 18th, 2016 - about 8 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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