Kelly, Elaine Bullock
Kelly, Elaine Bullock is an sole proprietor health care provider with primary practice located at Building 9203 Marne Road Martin Army Communtiy Hospital, Ft. Moore GA 31905. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Kelly, Elaine Bullock can be contacted via phone (706) 544-4339.Contact Information
Primary practice address
Building 9203 Marne Road Martin Army Communtiy Hospital
Ft. Moore GA 31905
Phone: (706) 544-4339
Fax: (706) 544-4236
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801074848 | Michigan |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 6801074848 | Michigan |
Profile Details
| NPI number | 1801993159 |
|---|---|
| LBN Legal business name | Kelly, Elaine Bullock |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Mar 4th, 2024 - about 2 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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