Bullock, Christina M
Bullock, Christina M is an individual health care provider with primary practice located at 252 Calloway Ct , Evans GA 30809. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bullock, Christina M can be contacted via phone (870) 243-7514.Contact Information
Primary practice address
252 Calloway Ct
Evans GA 30809
Phone: (870) 243-7514
Fax: (870) 933-9395
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | P1201007 | Arkansas |
Profile Details
| NPI number | 1821265307 |
|---|---|
| LBN Legal business name | Bullock, Christina M |
| Credentials | M.ED, LPC, NCC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 13th, 2008 |
| Last updated | Mar 3rd, 2022 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821265307 | NPPES |
| Arkansas | Other | 5AA34 | BCBS |
| Arkansas | MEDICAID | 169571795 | BCBS |
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