Bullis, Eliza

Bullis, Eliza is an sole proprietor health care provider with primary practice located at 22 Bramhall St , Portland ME 04102-3134. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Bullis, Eliza can be contacted via phone (207) 662-4618.

Contact Information

Primary practice address
22 Bramhall St Portland ME 04102-3134
Phone: (207) 662-4618
Fax: (207) 662-6254
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 54149 Connecticut
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 54149 Connecticut
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD21138 Maine
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD21138 Maine

Profile Details

NPI number 1518257682
LBN Legal business name Bullis, Eliza
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2011
Last updated Aug 18th, 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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