Bullock, Lauren

Bullock, Lauren is an individual health care provider with primary practice located at 3601 S Chicago Ave , South Milwaukee WI 53172-3708. 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, Lauren can be contacted via phone (414) 570-5477.

Contact Information

Primary practice address
3601 S Chicago Ave South Milwaukee WI 53172-3708
Phone: (414) 570-5477
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 5027-154 Wisconsin

Profile Details

NPI number 1114541588
LBN Legal business name Bullock, Lauren
Credentials CF-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2020
Last updated Jun 2nd, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114541588 NPPES
Wisconsin MEDICAID 34-1892096

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