Fox, Danielle Bullard

Fox, Danielle Bullard is an individual health care provider with primary practice located at 907 Georgiana St , Port Angeles WA 98362-3911. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fox, Danielle Bullard can be contacted via phone (360) 565-0999.

Contact Information

Primary practice address
907 Georgiana St Port Angeles WA 98362-3911
Fax: (360) 457-1599
Website:

Profile Details

NPI number 1699773549
LBN Legal business name Fox, Danielle Bullard
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jul 21st, 2022 - about 3 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 1699773549 NPPES
Washington Other 0223082 LABOR & INDUSTRIES
Washington MEDICAID 1016622 LABOR & INDUSTRIES

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