Bullard, Amicia

Bullard, Amicia is an individual health care provider with primary practice located at 777 Murphy Rd , Medford OR 97504-8425. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bullard, Amicia can be contacted via phone (541) 772-2763.

Contact Information

Primary practice address
777 Murphy Rd Medford OR 97504-8425
Phone: (541) 772-2763
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00783 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00783 Oregon

Profile Details

NPI number 1568549723
LBN Legal business name Bullard, Amicia
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated May 30th, 2024 - about 7 months 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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