Barulich, Matthew Joseph
Barulich, Matthew Joseph is an sole proprietor health care provider with primary practice located at 2170 South Ave , South Lake Tahoe CA 96150-7026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Barulich, Matthew Joseph can be contacted via phone (775) 882-8487.Contact Information
Primary practice address
2170 South Ave
South Lake Tahoe CA 96150-7026
Phone: (775) 882-8487
Fax: (775) 882-8487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 5413 | Nevada |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | A40451 | California |
Profile Details
| NPI number | 1891784203 |
|---|---|
| LBN Legal business name | Barulich, Matthew Joseph |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 2005 |
| Last updated | Dec 31st, 2013 - about 13 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 | 1891784203 | NPPES |
| Other | 160055464 | MEDICARE RAILROAD | |
| MEDICAID | 002013051 | MEDICARE RAILROAD |
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