Bulos, Honorio R

Bulos, Honorio R is an sole proprietor health care provider with primary practice located at 300 Dawson Commons Cir Ste 320, Dawsonville GA 30534-6268. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Bulos, Honorio R can be contacted via phone (706) 216-2770.

Contact Information

Primary practice address
300 Dawson Commons Cir Ste 320 Dawsonville GA 30534-6268
Phone: (706) 216-2770
Fax: (706) 216-2944
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 48029 Georgia

Profile Details

NPI number 1497712939
LBN Legal business name Bulos, Honorio R
Credentials M.D.,F.A.A.P.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2006
Last updated May 8th, 2013 - about 13 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 1497712939 NPPES
Georgia MEDICAID 000862584B
Georgia Other 341290
Georgia Other 52837775
Georgia Other 000862584B
Georgia MEDICAID 000862584C
Georgia Other 10032539
Georgia Other 328286
Georgia Other 10049707

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