Bullock, Oliver C.

Bullock, Oliver C. is an individual health care provider with primary practice located at 2100 W Cambria St , Philadelphia PA 19132-2632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bullock, Oliver C. can be contacted via phone (215) 578-3300.

Contact Information

Primary practice address
2100 W Cambria St Philadelphia PA 19132-2632
Phone: (215) 578-3300
Fax: (215) 578-3335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS004271L Pennsylvania

Profile Details

NPI number 1184625865
LBN Legal business name Bullock, Oliver C.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Apr 8th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1184625865 NPPES
Pennsylvania MEDICAID 000655010

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