Bullock, Cindy Elise

Bullock, Cindy Elise is an individual health care provider with primary practice located at 1401 S Laventure Rd , Mount Vernon WA 98274-6033. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Bullock, Cindy Elise can be contacted via phone (360) 424-2400.

Contact Information

Primary practice address
1401 S Laventure Rd Mount Vernon WA 98274-6033
Phone: (360) 424-2400
Fax: (360) 424-2418
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X PO60058024 Washington

Profile Details

NPI number 1598770927
LBN Legal business name Bullock, Cindy Elise
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Dec 30th, 2013 - about 12 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 1598770927 NPPES
New Jersey MEDICAID 06926029

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