Stull, Bobby Martin

Stull, Bobby Martin is an individual health care provider with primary practice located at 1616 Cornwall Ave Ste 100 , Bellingham WA 98225-4642. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Stull, Bobby Martin can be contacted via phone (360) 305-3275.

Contact Information

Primary practice address
1616 Cornwall Ave Ste 100 Bellingham WA 98225-4642
Phone: (360) 305-3275
Fax: (360) 734-5503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1447772173
LBN Legal business name Stull, Bobby Martin
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2017
Last updated Jul 14th, 2017 - about 8 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 1447772173 NPPES
Washington MEDICAID PENDING

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