Bullock, Roderick Conley

Bullock, Roderick Conley is an individual health care provider with primary practice located at 3104 Mintleaf Drive , Charlotte NC 28269. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Bullock, Roderick Conley can be contacted via phone (704) 519-8264.

Contact Information

Primary practice address
3104 Mintleaf Drive Charlotte NC 28269
Phone: (704) 519-8264
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1932374766
LBN Legal business name Bullock, Roderick Conley
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2008
Last updated Sep 22nd, 2022 - about 3 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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