Guerrant, Wallace Bullard
Guerrant, Wallace Bullard is an individual health care provider with primary practice located at 3180 Richmond Rd , Lexington KY 40509-1596. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Guerrant, Wallace Bullard can be contacted via phone (859) 721-1827.Contact Information
Primary practice address
3180 Richmond Rd
Lexington KY 40509-1596
Phone: (859) 721-1827
Fax: (859) 335-1535
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1214DT | Kentucky |
Profile Details
| NPI number | 1982767364 |
|---|---|
| LBN Legal business name | Guerrant, Wallace Bullard |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2006 |
| Last updated | Mar 31st, 2017 - about 7 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 | 1982767364 | NPPES |
| Kentucky | MEDICAID | 7100054840 |
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