Provider Demographics
NPI:1326224387
Name:ULRICH, JAN NIKLAS (MD)
Entity Type:Individual
Prefix:
First Name:JAN NIKLAS
Middle Name:
Last Name:ULRICH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2119 COPELAND WAY
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-9427
Mailing Address - Country:US
Mailing Address - Phone:216-262-2922
Mailing Address - Fax:
Practice Address - Street 1:5151 BIOINFORMATICS BUILDING CB 7040
Practice Address - Street 2:UNC DEPARTMENT OF OPHTHALMOLOGY
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-0001
Practice Address - Country:US
Practice Address - Phone:919-966-5296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-21
Last Update Date:2021-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-00355207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology