Bullock, Ronald A
Bullock, Ronald A is an individual health care provider with primary practice located at 50 Parkway Ln , Petal MS 39465-3035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bullock, Ronald A can be contacted via phone (601) 705-2897.Contact Information
Primary practice address
50 Parkway Ln
Petal MS 39465-3035
Phone: (601) 705-2897
Fax: (601) 584-6457
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 09600 | Mississippi |
Profile Details
| NPI number | 1437166832 |
|---|---|
| LBN Legal business name | Bullock, Ronald A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | May 31st, 2024 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437166832 | NPPES |
| Mississippi | Other | 1558922 | AMERICAN ADMIN GROUP |
| Mississippi | MEDICAID | 1589608 | AMERICAN ADMIN GROUP |
| Mississippi | Other | P00618852 | AMERICAN ADMIN GROUP |
| Mississippi | Other | 220002394 | AMERICAN ADMIN GROUP |
| Mississippi | MEDICAID | 00019948 | AMERICAN ADMIN GROUP |
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