Bullis, Wm John

Bullis, Wm John is an individual health care provider with primary practice located at 8610 Ne 17Th St , Clyde Hill WA 98004-3241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Bullis, Wm John can be contacted via phone (509) 720-0691.

Contact Information

Primary practice address
8610 Ne 17Th St Clyde Hill WA 98004-3241
Phone: (509) 720-0691
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 60033065 Washington
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X M-10613 Idaho

Profile Details

NPI number 1063473841
LBN Legal business name Bullis, Wm John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Jul 21st, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063473841 NPPES
Other 86806 MEDCOST
Other FH1000860 MEDCOST
MEDICAID 8911941 MEDCOST
MEDICAID N0044A MEDCOST
Other 9663436 MEDCOST
Other 160051634 MEDCOST
Other 11941 MEDCOST

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