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Contact Information

BRADFORD L BULLARD, LIC PROFESSIONAL COU
187 BELMONT DRIVE
DOTHAN, AL36305
 Phone: 334-671-1280
 Fax: 334-671-0475
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for BRADFORD L BULLARD · (Male)

NPI # 1013079995
Status Active
Credentials LIC PROFESSIONAL COU
Entity Individual
Enumeration date 12/15/2006
Last updated 07/08/2007 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 850
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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