CONNIE BULLOCK, Administrator MORRIS, MN

Contact Information

CONNIE BULLOCK

621 PACIFIC AVE
MORRIS, MN 56267-1960

Phone: 320-589-7425
Fax: 320-589-7433
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Administrator	163WA2000X

Indicates primary specialty

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NPI Profile & details for CONNIE BULLOCK · (Female)

NPI Number	`1518190180`
Status	Active
Credentials
Entity	Individual
Enumeration date	08/31/2009
Last updated	08/31/2009 - About 17 years ago
Sole proprietor ¹	No
Identifiers	MN License # R149320-5
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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CONNIE BULLOCKAdministrator

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Specialty

Administrator

NPI Profile & details for CONNIE BULLOCK · (Female)

Reviews for CONNIE BULLOCK

CONNIE BULLOCK
Administrator