Bullock, Kim D

Bullock, Kim D is an sole proprietor health care provider with primary practice located at 15941 Fairfield St , Detroit MI 48238-4123. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Bullock, Kim D can be contacted via phone (313) 345-4310.

Contact Information

Primary practice address
15941 Fairfield St Detroit MI 48238-4123
Fax: (313) 345-4315
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1598099673
LBN Legal business name Bullock, Kim D
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2009
Last updated Sep 23rd, 2009 - about 17 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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