Bullock, Steve Thomas Toshio

Bullock, Steve Thomas Toshio is an individual health care provider with primary practice located at 1385 Laskin Rd , Virginia Beach VA 23451-6089. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bullock, Steve Thomas Toshio can be contacted via phone (757) 425-1547.

Contact Information

Primary practice address
1385 Laskin Rd Virginia Beach VA 23451-6089
Phone: (757) 425-1547
Fax: (757) 425-6603
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 00401005556 Virginia

Profile Details

NPI number 1740264209
LBN Legal business name Bullock, Steve Thomas Toshio
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 8th, 2007 - about 18 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 1740264209 NPPES
North Carolina MEDICAID 8991174
North Carolina Other 6145

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