Bulloch, Matt Kevin

Bulloch, Matt Kevin is an sole proprietor health care provider with primary practice located at 2460 W Highway 56 #5, Cedar City UT 84720-4118. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Bulloch, Matt Kevin can be contacted via phone (435) 327-2137.

Contact Information

Primary practice address
2460 W Highway 56 #5 Cedar City UT 84720-4118
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2785863-6004 Utah
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 2785863-6004 Utah

Profile Details

NPI number 1457526337
LBN Legal business name Bulloch, Matt Kevin
Credentials L.P.C. NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2008
Last updated Nov 11th, 2009 - about 16 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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