Individual
GARY ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1725 N 5TH ST, TERRE HAUTE, IN 47804-4010
(812) 242-3005
(812) 242-3054
Mailing address
221 S 6TH ST, TERRE HAUTE, IN 47807-4214
(812) 242-3005
(812) 242-3054
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
02001444A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000089591
ANTHEM
—
05
—
100253060
—
IN
01
—
100253060G
MOLINA HEALTHCARE MCAID
IN
01
—
100253060O
MOLINA HEALTHCARE MCAID
IN
05
—
100253060T
—
IN
05
—
100253060W
—
IN
05
—
100253060Y
—
IN
01
—
200024206
RAILROAD MCARE PALAMETTO
—
01
—
255439
HEALTHLINK
—
01
—
P00834674
RAILROAD MEDICARE
IN
Enumeration date
08/30/2006
Last updated
08/18/2010
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