Bullock, Thomas J

Bullock, Thomas J is an individual health care provider with primary practice located at 1135 116Th Ave Ne Ste 500 , Bellevue WA 98004-4627. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurological Surgery is his primary health care specialty. Bullock, Thomas J can be contacted via phone (801) 699-8936.

Contact Information

Primary practice address
1135 116Th Ave Ne Ste 500 Bellevue WA 98004-4627
Phone: (801) 699-8936
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X DR.0058235 Colorado
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X BP10047662 Texas
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 61345139 Washington

Profile Details

NPI number 1578907671
LBN Legal business name Bullock, Thomas J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2013
Last updated Oct 30th, 2023 - about last year

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 1578907671 NPPES
Colorado MEDICAID 9000149868
Colorado Other 028905

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