Bullock, Natalie
Bullock, Natalie is an sole proprietor health care provider with primary practice located at 1111 Ronald Reagan Pkwy , Avon IN 46123-7085. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bullock, Natalie can be contacted via phone (317) 217-3073.Contact Information
Primary practice address
1111 Ronald Reagan Pkwy
Avon IN 46123-7085
Phone: (317) 217-3073
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 05004074A | Indiana |
Profile Details
NPI number | 1831350099 |
---|---|
LBN Legal business name | Bullock, Natalie |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 20th, 2008 |
Last updated | Jul 3rd, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1831350099 | NPPES |
Indiana | Other | 05004074A | PT LICENSE |
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