National Provider Identifier Database

JERI BULLOCK, COSMETOLOGIST – NPI #1881468254
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

JERI BULLOCK, COSMETOLOGIST
15800 NORTHCROSS DR STE 103
HUNTERSVILLE, NC28078-5070
Phone: 310-500-8866
Fax:
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for JERI BULLOCK

NPI Number 1881468254
Credentials COSMETOLOGIST
Entity Individual
Enumeration date 11/07/2023
Last updated 11/07/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers n/a
Hospital affiliation n/a

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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