Bullock, Jason Michael

Bullock, Jason Michael is an individual health care provider with primary practice located at 4200A Technology Ct , Chantilly VA 20151-1214. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bullock, Jason Michael can be contacted via phone (571) 528-9796.

Contact Information

Primary practice address
4200A Technology Ct Chantilly VA 20151-1214
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0104557050 Virginia

Profile Details

NPI number 1124381421
LBN Legal business name Bullock, Jason Michael
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2012
Last updated Jun 12th, 2014 - about 12 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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