Bullock, James Howard

Bullock, James Howard is an individual health care provider with primary practice located at 9097 Atlee Station Rd Suite 219, Mechanicsville VA 23116-2525. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bullock, James Howard can be contacted via phone (804) 730-2829.

Contact Information

Primary practice address
9097 Atlee Station Rd Suite 219 Mechanicsville VA 23116-2525
Phone: (804) 730-2829
Fax: (804) 730-2829
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 0810001604 Virginia

Profile Details

NPI number 1104832815
LBN Legal business name Bullock, James Howard
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 8th, 2007 - about 19 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 1104832815 NPPES
Virginia MEDICAID 7705077
Virginia Other 440242

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