Bullock, John W
Bullock, John W is an individual health care provider with primary practice located at 2785 Boleyn Dr , Colorado Springs CO 80920-5383. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bullock, John W can be contacted via phone (719) 265-0017.Contact Information
Primary practice address
2785 Boleyn Dr
Colorado Springs CO 80920-5383
Phone: (719) 265-0017
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 013098 | New York |
Profile Details
| NPI number | 1194799775 |
|---|---|
| LBN Legal business name | Bullock, John W |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Oct 22nd, 2014 - about 11 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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