Bullis, Paul V

Bullis, Paul V is an individual health care provider with primary practice located at 1640 E Sumner St , Hartford WI 53027. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bullis, Paul V can be contacted via phone (262) 670-4000.

Contact Information

Primary practice address
1640 E Sumner St Hartford WI 53027
Fax: (262) 670-4451
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207QH0002X 41040 Wisconsin
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41040 Wisconsin

Profile Details

NPI number 1184633869
LBN Legal business name Bullis, Paul V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Nov 29th, 2021 - about 5 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 1184633869 NPPES
Wisconsin MEDICAID 32557200
Wisconsin Other P00941428

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