Bulengo, Stella M.
Bulengo, Stella M. is an sole proprietor health care provider with primary practice located at 12319 N Mopac Expy Ste 100 , Austin TX 78758-2486. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Bulengo, Stella M. can be contacted via phone (512) 837-3376.Contact Information
Primary practice address
12319 N Mopac Expy Ste 100
Austin TX 78758-2486
Phone: (512) 837-3376
Fax: (512) 837-3377
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | S2739 | Texas |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G183935 | California |
Profile Details
| NPI number | 1194717447 |
|---|---|
| LBN Legal business name | Bulengo, Stella M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 22nd, 2005 |
| Last updated | Mar 24th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194717447 | NPPES |
| Florida | Other | ME129589 | FL MEDICAL LICENSE |
| Florida | Other | S2739 | FL MEDICAL LICENSE |
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