Bullis, Matthew Mi

Bullis, Matthew Mi is an individual health care provider with primary practice located at 18 Wyandotte Ln , East Islip NY 11730-2605. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Bullis, Matthew Mi can be contacted via phone (631) 918-3186.

Contact Information

Primary practice address
18 Wyandotte Ln East Islip NY 11730-2605
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 107414 New York

Profile Details

NPI number 1932759230
LBN Legal business name Bullis, Matthew Mi
Credentials LMSW
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 18th, 2019
Last updated Sep 18th, 2019 - about 6 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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