Bullock, Jacob Andrew

Bullock, Jacob Andrew is an individual health care provider with primary practice located at 152 W Zandale Dr Suite 101, Lexington KY 40503-2486. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bullock, Jacob Andrew can be contacted via phone (859) 272-0099.

Contact Information

Primary practice address
152 W Zandale Dr Suite 101 Lexington KY 40503-2486
Phone: (859) 272-0099
Fax: (859) 272-0073
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4918 Kentucky

Profile Details

NPI number 1154476653
LBN Legal business name Bullock, Jacob Andrew
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated May 6th, 2013 - about 13 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 1154476653 NPPES
Kentucky MEDICAID 85003333

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