Koeze, Ursula Gailliot

Koeze, Ursula Gailliot is an individual health care provider with primary practice located at 459 Locust Ave Mb 26, Charlottesville VA 22902-4808. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Koeze, Ursula Gailliot can be contacted via phone (434) 982-7150.

Contact Information

Primary practice address
459 Locust Ave Mb 26 Charlottesville VA 22902-4808
Phone: (434) 982-7150
Fax: (434) 982-7147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0101057124 Virginia

Profile Details

NPI number 1023088960
LBN Legal business name Koeze, Ursula Gailliot
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2006
Last updated Aug 6th, 2008 - about 18 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 1023088960 NPPES
Virginia MEDICAID 29797
Virginia Other 166192
Virginia Other 29797
Virginia MEDICAID 010142890
Virginia Other 224992
Virginia Other 930113085
Virginia Other P00206926

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