Bullock, Justin

Bullock, Justin is an sole proprietor health care provider with primary practice located at 1420 Walnut St Ste 1350 , Philadelphia PA 19102-4019. He recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as his primary health care specialty. Bullock, Justin can be contacted via phone (215) 664-3200.

Contact Information

Primary practice address
1420 Walnut St Ste 1350 Philadelphia PA 19102-4019
Phone: (215) 664-3200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X

Profile Details

NPI number 1083274161
LBN Legal business name Bullock, Justin
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 19th, 2019
Last updated Jun 19th, 2019 - about 5 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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