Bull, Kenneth C

Bull, Kenneth C is an individual health care provider with primary practice located at 1330 Glacier Hill Dr , Madison WI 53704-8593. He recently has only one registered license in Nursing Service Providers / Home Health, which is considered as his primary health care specialty. Bull, Kenneth C can be contacted via phone (608) 438-6086.

Contact Information

Primary practice address
1330 Glacier Hill Dr Madison WI 53704-8593
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X Wisconsin

Profile Details

NPI number 1720057177
LBN Legal business name Bull, Kenneth C
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Jul 8th, 2007 - 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 1720057177 NPPES
Wisconsin MEDICAID 39941900

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