Bultemeier, Brent Stewart

Bultemeier, Brent Stewart is an individual health care provider with primary practice located at 3207 New Boston Rd , Texarkana TX 75501-3133. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bultemeier, Brent Stewart can be contacted via phone (903) 832-8765.

Contact Information

Primary practice address
3207 New Boston Rd Texarkana TX 75501-3133
Fax: (903) 832-6060
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 5532 Texas

Profile Details

NPI number 1821104332
LBN Legal business name Bultemeier, Brent Stewart
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Aug 20th, 2008 - about 17 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 1821104332 NPPES
Texas Other 8AJ387 BLUE CROSS BLUE SHIELD OF TEXAS

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