Bullard, Steven Redding
Bullard, Steven Redding is an individual health care provider with primary practice located at 2865 Duke St , Alexandria VA 22314-4512. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bullard, Steven Redding can be contacted via phone (703) 370-2455.Contact Information
Primary practice address
2865 Duke St
Alexandria VA 22314-4512
Phone: (703) 370-2455
Fax: (703) 461-7887
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 052853 | Virginia |
Profile Details
| NPI number | 1235115544 |
|---|---|
| LBN Legal business name | Bullard, Steven Redding |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Apr 22nd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235115544 | NPPES |
| Virginia | MEDICAID | 006309305 |
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