Ultmann, Michelle C

Ultmann, Michelle C is an individual health care provider with primary practice located at 2790 Mosside Blvd Ste 700, Monroeville PA 15146-2758. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ultmann, Michelle C can be contacted via phone (412) 380-9250.

Contact Information

Primary practice address
2790 Mosside Blvd Ste 700 Monroeville PA 15146-2758
Fax: (412) 380-9253
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD033479E Pennsylvania

Profile Details

NPI number 1962405811
LBN Legal business name Ultmann, Michelle C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2005
Last updated Jul 8th, 2007 - about 17 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 1962405811 NPPES
Pennsylvania MEDICAID 0011370100005

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