Bulloch, Travis

Bulloch, Travis is an individual health care provider with primary practice located at 1 Hospital Dr Emergency Medicine M562 Dc029.10 , Columbia MO 65212-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bulloch, Travis can be contacted via phone (573) 884-4400.

Contact Information

Primary practice address
1 Hospital Dr Emergency Medicine M562 Dc029.10 Columbia MO 65212-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X M-17087 Idaho
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2020015720 Missouri

Profile Details

NPI number 1265058853
LBN Legal business name Bulloch, Travis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2020
Last updated Apr 26th, 2023 - about 2 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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