Bulloch, Michael Brent
Bulloch, Michael Brent is an individual health care provider with primary practice located at 110 W 1325 N Ste 200 , Cedar City UT 84721-8179. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bulloch, Michael Brent can be contacted via phone (435) 586-7676.Contact Information
Primary practice address
110 W 1325 N Ste 200
Cedar City UT 84721-8179
Phone: (435) 586-7676
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 94725281204 | Utah |
Profile Details
| NPI number | 1700149804 |
|---|---|
| LBN Legal business name | Bulloch, Michael Brent |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2012 |
| Last updated | Dec 13th, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1700149804 | NPPES |
| Utah | MEDICAID | 1700149804 |
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