Bullock, Brian G G
Bullock, Brian G G is an individual health care provider with primary practice located at 9000 Waukegan Rd Ste 100 , Morton Grove IL 60053-2128. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as his primary health care specialty. Bullock, Brian G G can be contacted via phone (847) 779-6050.Contact Information
Primary practice address
9000 Waukegan Rd Ste 100
Morton Grove IL 60053-2128
Phone: (847) 779-6050
Fax: (847) 929-1167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | 227.003818 | Illinois |
Profile Details
| NPI number | 1407406002 |
|---|---|
| LBN Legal business name | Bullock, Brian G G |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 16th, 2019 |
| Last updated | Sep 16th, 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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