Bullock, Travis L
Bullock, Travis L is an individual health care provider with primary practice located at 12855 N 40 Dr Ste 350 , Saint Louis MO 63141-8669. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bullock, Travis L can be contacted via phone (314) 567-6071.Contact Information
Primary practice address
12855 N 40 Dr Ste 350
Saint Louis MO 63141-8669
Phone: (314) 567-6071
Fax: (314) 567-3321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 2007030776 | Missouri |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 036113441 | Illinois |
Profile Details
| NPI number | 1699810507 |
|---|---|
| LBN Legal business name | Bullock, Travis L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 20th, 2007 |
| Last updated | Apr 6th, 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.
Popular Providers
-
Mohapatra, Raj N
1 Jefferson Barracks Rd , Saint Louis MO 63125-4181 -
Vulin, Christopher L
12855 N 40 Dr Suite 375, Saint Louis MO 63141-8635 -
Patel, Jayprakash V
10296 Big Bend Rd Suite 205, Saint Louis MO 63122 -
Anglo, Luis J
701 S New Ballas Rd Ste 330 , Saint Louis MO 63141-8702 -
Hawatmeh, Salim I
12345 W Bend Dr Suite 200, Saint Louis MO 63128-2104 -
Scully, Thomas
450 N New Ballas Rd Suite 150N, Saint Louis MO 63141 -
Spellman, Matthew J
12855 N 40 Dr Suite 375, Saint Louis MO 63141-8635 -
White, Brad C
12855 N 40 Dr Suite 375, Saint Louis MO 63141-8635