Bullock, Olivia Michelle
Bullock, Olivia Michelle is an sole proprietor health care provider with primary practice located at 1310 County Road 210 W , Saint Johns FL 32259. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bullock, Olivia Michelle can be contacted via phone (904) 824-4407.Contact Information
Primary practice address
1310 County Road 210 W
Saint Johns FL 32259
Phone: (904) 824-4407
Fax: (904) 390-7459
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS18963 | Florida |
Profile Details
| NPI number | 1114542859 |
|---|---|
| LBN Legal business name | Bullock, Olivia Michelle |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 9th, 2020 |
| Last updated | Aug 15th, 2023 - about 2 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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