Bullen, Dennis M

Bullen, Dennis M is an individual health care provider with primary practice located at 2793 Shawnee Rd , Lima OH 45806-1444. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bullen, Dennis M can be contacted via phone (419) 227-8209.

Contact Information

Primary practice address
2793 Shawnee Rd Lima OH 45806-1444
Phone: (419) 227-8209
Fax: (419) 222-6007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN204525 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X COA 02041-NA Ohio

Profile Details

NPI number 1174579924
LBN Legal business name Bullen, Dennis M
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Oct 31st, 2016 - about 9 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 1174579924 NPPES
Ohio MEDICAID 0950707
Ohio Other 041281
Ohio MEDICAID 1022890730001

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