Bullock, Venetta
Bullock, Venetta is an individual health care provider with primary practice located at 201 N 26Th St , Arkadelphia AR 71923-4336. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Bullock, Venetta can be contacted via phone (870) 246-1916.Contact Information
Primary practice address
201 N 26Th St
Arkadelphia AR 71923-4336
Phone: (870) 246-1916
Fax: (501) 620-5109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1649333048 |
|---|---|
| LBN Legal business name | Bullock, Venetta |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Dec 30th, 2010 - about 14 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 | 1649333048 | NPPES |
| Arkansas | MEDICAID | 116399726 |
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