Bullock, Jodi C

Bullock, Jodi C is an sole proprietor health care provider with primary practice located at 4825 Ep True Pkwy Suite 101, West Des Moines IA 50265-6403. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Bullock, Jodi C can be contacted via phone (515) 226-3468.

Contact Information

Primary practice address
4825 Ep True Pkwy Suite 101 West Des Moines IA 50265-6403
Phone: (515) 226-3468
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X Iowa

Profile Details

NPI number 1194063123
LBN Legal business name Bullock, Jodi C
Credentials RD, CLT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2013
Last updated Jan 25th, 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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