Todd Bullock is a Specialist in Grass Valley, California. Todd Bullock practices all healthcare services and medical treatments related to Specialist. The NPI Number for Todd Bullock is 1700888047. The last update date is 2020-09-22.
Todd Bullock's current location address is 138 Joerschke Dr, Grass Valley, California. You can contact this provider via phone number 5304771004 and fax number 5304770809. The mailing address for Todd Bullock is 138 Joerschke Dr, Grass Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Todd Bullock |
|---|---|
| Address | 138 Joerschke Dr, Grass Valley, California |
| Phone Number | 5304771004 |
| Fax Number | 5304770809 |
| Sole Proprietor | Y |
| Credentials | C.P.O |
NPI Number Detail
| NPI Number | 1700888047 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2020-09-22 |
Provider Mailing Address Detail
| Address | 138 Joerschke Dr |
|---|---|
| City | Grass Valley |
| State | California (CA) |
| Post Code | 9594552480 |
| Phone Number | 5304771004 |
| Fax Number | 5304770809 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| XB0025770 | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Todd Bullock by the Centers for Medicare & Medicaid Services?
The Todd Bullock has been issued the NPI (National Provider Identifier) 1700888047, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Todd Bullock is physically located?
The Todd Bullock is situated at the following address: 138 Joerschke Dr, Grass Valley, CA 9594552480.
What is the Todd Bullock's area of specialization and corresponding taxonomy classification?
The Todd Bullock's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
When was the Todd Bullock's 1700888047 issued?
The Todd Bullock's 1700888047 was issued on 2005-06-01.
As of what date were the Todd Bullock's details last updated?
The information pertaining to the Todd Bullock, including its address, specialty, and other details, was most recently updated on 2020-09-22.
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