Bulloch, Robert B

Bulloch, Robert B is an individual health care provider with primary practice located at 1501 Louisville Ave , Monroe LA 71201-6025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bulloch, Robert B can be contacted via phone (318) 323-8451.

Contact Information

Primary practice address
1501 Louisville Ave Monroe LA 71201-6025
Fax: (318) 361-2613
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD.021086 Louisiana

Profile Details

NPI number 1538145842
LBN Legal business name Bulloch, Robert B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Feb 16th, 2010 - 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 1538145842 NPPES
Louisiana MEDICAID 1663336

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