Bulley, David A
Bulley, David A is an individual health care provider with primary practice located at 2020 59Th St West Blake Medical Center, Bradenton FL 34209. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Bulley, David A can be contacted via phone (941) 792-6611.Contact Information
Primary practice address
2020 59Th St West Blake Medical Center
Bradenton FL 34209
Phone: (941) 792-6611
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME68320 | Florida |
Profile Details
NPI number | 1912950635 |
---|---|
LBN Legal business name | Bulley, David A |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 17th, 2006 |
Last updated | May 17th, 2010 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1912950635 | NPPES |
Florida | MEDICAID | 377611500 | |
Florida | Other | 300087672 |
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