Bullard, Brent

Bullard, Brent is an sole proprietor health care provider with primary practice located at 940 Avenue 64 , Pasadena CA 91105-2711. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as his primary health care specialty. Bullard, Brent can be contacted via phone (323) 254-2274.

Contact Information

Primary practice address
940 Avenue 64 Pasadena CA 91105-2711
Phone: (323) 254-2274
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X

Profile Details

NPI number 1093121022
LBN Legal business name Bullard, Brent
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 10th, 2014
Last updated Jul 11th, 2014 - about 11 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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