Bullock, Paul E

Bullock, Paul E is an individual health care provider with primary practice located at 1441 Anderson Avenue , Manhattan KS 66502-4072. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Bullock, Paul E can be contacted via phone (785) 776-9461.

Contact Information

Primary practice address
1441 Anderson Avenue Manhattan KS 66502-4072
Fax: (785) 776-9946
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 912-3 Kansas

Profile Details

NPI number 1164517611
LBN Legal business name Bullock, Paul E
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1164517611 NPPES
Kansas Other 912-3 STATE LICENSE NUMBER

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