Ullery, Gary Michael

Ullery, Gary Michael is an individual health care provider with primary practice located at 98 Poplar St Fl 2 , Blackfoot ID 83221-1758. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ullery, Gary Michael can be contacted via phone (208) 782-2380.

Contact Information

Primary practice address
98 Poplar St Fl 2 Blackfoot ID 83221-1758
Phone: (208) 782-2380
Fax: (208) 785-3504
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X O-0906 Idaho
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X O-0906 Idaho

Profile Details

NPI number 1164785382
LBN Legal business name Ullery, Gary Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2012
Last updated Jan 3rd, 2020 - about 6 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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