Bullock, Jacquelyn R
Bullock, Jacquelyn R is an individual health care provider with primary practice located at 880 Hodgson Rd , Columbia Falls MT 59912-9026. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bullock, Jacquelyn R can be contacted via phone (406) 426-1560.Contact Information
Primary practice address
880 Hodgson Rd
Columbia Falls MT 59912-9026
Phone: (406) 426-1560
Fax: (406) 510-2933
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 11116 | Montana |
Profile Details
| NPI number | 1457834822 |
|---|---|
| LBN Legal business name | Bullock, Jacquelyn R |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2018 |
| Last updated | Dec 8th, 2023 - about 3 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 | 1457834822 | NPPES |
| Montana | MEDICAID | 1457834822 |
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