Bullard, Lavalle Deprice

Bullard, Lavalle Deprice is an sole proprietor health care provider with primary practice located at 13800 Heacock St Suite C236, Moreno Valley CA 92553-3339. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Bullard, Lavalle Deprice can be contacted via phone (951) 653-0819.

Contact Information

Primary practice address
13800 Heacock St Suite C236 Moreno Valley CA 92553-3339
Phone: (951) 653-0819
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1205124039
LBN Legal business name Bullard, Lavalle Deprice
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2011
Last updated May 16th, 2012 - about 12 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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