Beverly H Bullock in Portsmouth - Clinical
Beverly H Bullock - NPI 1558356857
Beverly H Bullock is a Clinical in Portsmouth, Virginia. Beverly H Bullock practices all healthcare services and medical treatments related to Clinical. The NPI Number for Beverly H Bullock is 1558356857. The last update date is 2007-07-08.
Beverly H Bullock's current location address is 3300 Academy Ave, Portsmouth, Virginia. You can contact this provider via phone number 7574836404 and fax number 7574830737. The mailing address for Beverly H Bullock is 3300 Academy Ave, Portsmouth, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Beverly H Bullock |
|---|---|
| Address | 3300 Academy Ave, Portsmouth, Virginia |
| Phone Number | 7574836404 |
| Fax Number | 7574830737 |
| Sole Proprietor | X |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1558356857 |
|---|---|
| Provider Enumeration Date | 2005-09-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3300 Academy Ave |
|---|---|
| City | Portsmouth |
| State | Virginia (VA) |
| Post Code | 237033205 |
| Phone Number | 7574836404 |
| Fax Number | 7574830737 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 904000619 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 242116 | VA | ANTHEM | |
| 8904570 | VA | -- | |
| 81306 | VA | SENTARA |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Beverly H Bullock by the Centers for Medicare & Medicaid Services?
The Beverly H Bullock has been assigned the NPI (National Provider Identifier) 1558356857 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Beverly H Bullock is physically located?
The Beverly H Bullock is situated at the following address: 3300 Academy Ave, Portsmouth, VA 237033205.
What is the Beverly H Bullock's area of specialization and corresponding taxonomy classification?
The Beverly H Bullock's specialty field is Clinical, and it falls under the taxonomy code 1041C0700X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1558356857 to Beverly H Bullock?
The Centers for Medicare & Medicaid Services originally issued the 1558356857 to Beverly H Bullock on 2005-09-13.
When was the Beverly H Bullock's information last updated?
The Beverly H Bullock's information was last updated on 2007-07-08.