Organization
ULRICH MEDICAL CLINIC, LLC
Active
Other names
Dennis A Ulrich
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS ANDRE ULRICH M.D. (OWNER)
(606) 843-2339
Entity
Organization
Contact information
Practice address
1655 E HIGHWAY 3094, EAST BERNSTADT, KY 40729-6216
(606) 843-2339
(606) 843-6815
Mailing address
1655 EAST HWY 3094, PO BOX 328, EAST BERNSTADT, KY 40729
(606) 843-2339
(606) 843-6815
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000077248
BLUE CROSS BLUE SHIELD
KY
01
—
080138185
RAILROAD MEDICARE
KY
01
—
100495
FEDERAL BLACK LUNG PROGRA
KY
05
—
64196298
—
KY
01
—
C92143
CUMBERLAND HEALTHCARE, IN
KY
Enumeration date
03/27/2007
Last updated
04/12/2021
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