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Contact Information

AFFIE A BULLOCK
26797 ROSELAND RD
ELKHART, IN46514-6122
 Phone: 574-215-6628
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Private Vehicle

347C00000X
Indicates primary specialty

NPI Profile & details for AFFIE A BULLOCK · (Female)

NPI Number 1083321301
Status Active
Credentials
Entity Individual
Enumeration date 11/07/2022
Last updated 11/07/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 597RBZ
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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