Provider Demographics
NPI:1790078780
Name:ULM, RICHARD ALAN (DC)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ALAN
Last Name:ULM
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6077 FRANTZ RD
Mailing Address - Street 2:SUITE 103
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-3325
Mailing Address - Country:US
Mailing Address - Phone:614-389-4473
Mailing Address - Fax:614-389-4719
Practice Address - Street 1:6077 FRANTZ RD
Practice Address - Street 2:SUITE 103
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-3325
Practice Address - Country:US
Practice Address - Phone:614-389-4473
Practice Address - Fax:614-389-4719
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-24
Last Update Date:2011-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4188111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor