Bullington, Andrew Brandon

Bullington, Andrew Brandon is an individual health care provider with primary practice located at 555 E Broadway Ave , Jackson WY 83001-8640. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bullington, Andrew Brandon can be contacted via phone (307) 733-3900.

Contact Information

Primary practice address
555 E Broadway Ave Jackson WY 83001-8640
Phone: (307) 733-3900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 054468 Georgia
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD.28879 Alabama

Profile Details

NPI number 1700910155
LBN Legal business name Bullington, Andrew Brandon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2007
Last updated Aug 12th, 2019 - 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 1700910155 NPPES
Alabama Other 510-40198 BCBS - 4300 W MAIN ST; STE 14
Alabama MEDICAID 564805591B BCBS - 4300 W MAIN ST; STE 14
Alabama Other 510-40197 BCBS - 4300 W MAIN ST; STE 14
Alabama MEDICAID 1700910155 BCBS - 4300 W MAIN ST; STE 14

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