Bullard, Lauren

Bullard, Lauren is an individual health care provider with primary practice located at 1300 Charleston Ave , Mattoon IL 61938-4016. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Bullard, Lauren can be contacted via phone (217) 234-6405.

Contact Information

Primary practice address
1300 Charleston Ave Mattoon IL 61938-4016
Phone: (217) 234-6405
Fax: (217) 258-6136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 180-000972 Illinois

Profile Details

NPI number 1609988724
LBN Legal business name Bullard, Lauren
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Mar 18th, 2014 - about 10 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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