Bullard, Richard S
Bullard, Richard S is an individual health care provider with primary practice located at 45 Pittwick Ln , Palm Coast FL 32164-7003. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Bullard, Richard S can be contacted via phone (386) 517-4103.Contact Information
Primary practice address
45 Pittwick Ln
Palm Coast FL 32164-7003
Phone: (386) 517-4103
Fax: (386) 241-1022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | APRN11014272 | Florida |
Profile Details
| NPI number | 1255903779 |
|---|---|
| LBN Legal business name | Bullard, Richard S |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2021 |
| Last updated | Apr 9th, 2022 - about 4 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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