Bullock, Kristan M
Bullock, Kristan M is an sole proprietor health care provider with primary practice located at 3715 Woodking Dr , Idaho Falls ID 83404-4720. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Bullock, Kristan M can be contacted via phone (208) 529-2255.Contact Information
Primary practice address
3715 Woodking Dr
Idaho Falls ID 83404-4720
Phone: (208) 529-2255
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SLP 2623 | Idaho |
Profile Details
| NPI number | 1689082521 |
|---|---|
| LBN Legal business name | Bullock, Kristan M |
| Credentials | M.S., CCC-SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 23rd, 2014 |
| Last updated | Sep 15th, 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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