Provider Demographics
NPI:1700206059
Name:ULRICH, ELIZABETH KATHLEEN BARTON (DO)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:KATHLEEN BARTON
Last Name:ULRICH
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 KENILWORTH DR
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44313-6726
Mailing Address - Country:US
Mailing Address - Phone:419-733-5487
Mailing Address - Fax:
Practice Address - Street 1:1 AKRON GENERAL AVENUE
Practice Address - Street 2:AKRON GENERAL MEDICAL CENTER
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-6726
Practice Address - Country:US
Practice Address - Phone:419-733-5487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-24
Last Update Date:2017-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH390200000X
OH34.012811207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program