Bullen, Michael Glenn

Bullen, Michael Glenn is an sole proprietor health care provider with primary practice located at 600 Elizabeth St , Corpus Christi TX 78404-2235. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Bullen, Michael Glenn can be contacted via phone (361) 887-5575.

Contact Information

Primary practice address
600 Elizabeth St Corpus Christi TX 78404-2235
Phone: (361) 887-5575
Fax: (361) 854-2480
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X F8813 Texas
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X F8813 Texas

Profile Details

NPI number 1164576583
LBN Legal business name Bullen, Michael Glenn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2007
Last updated Jun 28th, 2011 - about 15 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 1164576583 NPPES
Texas MEDICAID 11568402

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