Bullard, Anissa Emanuel

Bullard, Anissa Emanuel is an sole proprietor health care provider with primary practice located at 1548 Nc Highway 211 W , Lumberton NC 28360-3696. She recently has 3 registered licenses in different health care specialties including Agencies / Home Health, Suppliers / Customized Equipment, Agencies / In Home Supportive Care. Agencies / In Home Supportive Care is her primary health care specialty. Bullard, Anissa Emanuel can be contacted via phone (910) 735-0500.

Contact Information

Primary practice address
1548 Nc Highway 211 W Lumberton NC 28360-3696
Phone: (910) 735-0500
Fax: (910) 735-0200
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X HC1961 North Carolina
Suppliers / Customized Equipment 332BC3200X 00982 North Carolina
Agencies / In Home Supportive Care 253Z00000X HC1961 North Carolina

Profile Details

NPI number 1306006127
LBN Legal business name Bullard, Anissa Emanuel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2008
Last updated Jan 19th, 2023 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1306006127 NPPES
North Carolina MEDICAID CAP3409271
North Carolina MEDICAID 7705295
North Carolina MEDICAID 3419206
North Carolina MEDICAID PCS6600738

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