Ullrey, Justin Champion

Ullrey, Justin Champion is an individual health care provider with primary practice located at 25 N Main St , Rockford MI 49341-1281. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Ullrey, Justin Champion can be contacted via phone (616) 866-3077.

Contact Information

Primary practice address
25 N Main St Rockford MI 49341-1281
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901005240 Michigan

Profile Details

NPI number 1982263711
LBN Legal business name Ullrey, Justin Champion
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2019
Last updated Jun 5th, 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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