Ungerer, Garrett Nicholas
Ungerer, Garrett Nicholas is an individual health care provider with primary practice located at 5177 Mccarty Ln , Lafayette IN 47905-8764. He recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Ungerer, Garrett Nicholas can be contacted via phone (765) 448-8000.Contact Information
Primary practice address
5177 Mccarty Ln
Lafayette IN 47905-8764
Phone: (765) 448-8000
Fax: (765) 838-4758
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2012005136 | Missouri |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2012005136 | Missouri |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 69687 | Minnesota |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 30665 | Minnesota |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 01099578A | Indiana |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 85915-20 | Wisconsin |
Profile Details
| NPI number | 1609142066 |
|---|---|
| LBN Legal business name | Ungerer, Garrett Nicholas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2012 |
| Last updated | Aug 14th, 2026 - about 2 months 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 | 1609142066 | NPPES |
| Indiana | MEDICAID | 300133019 |
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