Bullock, Jeffrey Dale

Bullock, Jeffrey Dale is an sole proprietor health care provider with primary practice located at 2016 San Jacinto Rd , Camp Pendleton CA 92054. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology is his primary health care specialty. Bullock, Jeffrey Dale can be contacted via phone (760) 719-4191.

Contact Information

Primary practice address
2016 San Jacinto Rd Camp Pendleton CA 92054
Phone: (760) 719-4191
Fax: (760) 719-4267
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PTL.0011340 Colorado
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Neurology 2251N0400X 0011340 Colorado

Profile Details

NPI number 1922297613
LBN Legal business name Bullock, Jeffrey Dale
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 17th, 2007
Last updated May 16th, 2024 - about 7 months 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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