Bulaeva, Natalya V

Bulaeva, Natalya V is an sole proprietor health care provider with primary practice located at 1750 Stockton St , Jacksonville FL 32204. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Bulaeva, Natalya V can be contacted via phone (904) 860-1123.

Contact Information

Primary practice address
1750 Stockton St Jacksonville FL 32204
Phone: (904) 860-1123
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 074839 Georgia
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME117366 Florida

Profile Details

NPI number 1790743342
LBN Legal business name Bulaeva, Natalya V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 3rd, 2006
Last updated Jul 31st, 2018 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790743342 NPPES
Georgia MEDICAID 003169167A

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