Bullock, Peter Paul

Bullock, Peter Paul is an individual health care provider with primary practice located at 106 S Castlerock Ln , Mustang OK 73064-4586. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bullock, Peter Paul can be contacted via phone (405) 256-0374.

Contact Information

Primary practice address
106 S Castlerock Ln Mustang OK 73064-4586
Phone: (405) 256-0374
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25803 Oklahoma

Profile Details

NPI number 1356506935
LBN Legal business name Bullock, Peter Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2008
Last updated Jul 6th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356506935 NPPES
Oklahoma Other 25803 OKLAHOMA MEDICAL LICENSE

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