National Provider Identifier Database

AFFIE A BULLOCK
Private Vehicle

An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.


Contact Information

AFFIE A BULLOCK
26797 ROSELAND RD
ELKHART, IN46514-6122
Phone: 574-215-6628
Fax:
Website:
Specialty Taxonomy Code
* Private Vehicle 347C00000X

* Indicates primary specialty

NPI Profile & details for AFFIE A BULLOCK

NPI Number 1083321301
Credentials
Entity Individual
Enumeration date 11/07/2022
Last updated 11/07/2022 - About 4 years ago
Sole proprietor1 Yes
Identifiers
  • IN License #: 597RBZ
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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