Bulloch, Edgar Mark

Bulloch, Edgar Mark is an individual health care provider with primary practice located at 133 W Main St Ste 100 , El Cajon CA 92020-3325. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is his primary health care specialty. Bulloch, Edgar Mark can be contacted via phone (619) 401-0404.

Contact Information

Primary practice address
133 W Main St Ste 100 El Cajon CA 92020-3325
Phone: (619) 401-0404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X BP10025759 Texas
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X A113241 California

Profile Details

NPI number 1508046376
LBN Legal business name Bulloch, Edgar Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2007
Last updated May 26th, 2021 - about 3 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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