Bullock, John W

Bullock, John W is an individual health care provider with primary practice located at 2785 Boleyn Dr , Colorado Springs CO 80920-5383. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bullock, John W can be contacted via phone (719) 265-0017.

Contact Information

Primary practice address
2785 Boleyn Dr Colorado Springs CO 80920-5383
Phone: (719) 265-0017
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 013098 New York

Profile Details

NPI number 1194799775
LBN Legal business name Bullock, John W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Oct 22nd, 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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