Gregory Bullis in Rockford - Emergency Medical Services
Gregory Bullis - NPI 1497784797
Gregory Bullis is a Emergency Medical Services in Rockford, Illinois. Gregory Bullis practices all healthcare services and medical treatments related to Emergency Medical Services. The NPI Number for Gregory Bullis is 1497784797. The last update date is 2013-11-01.
Gregory Bullis's current location address is 5666 East State St, Rockford, Illinois. You can contact this provider via phone number 8152262000 and fax number 8153817582. The mailing address for Gregory Bullis is 5666 East State St, Rockford, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory Bullis |
|---|---|
| Address | 5666 East State St, Rockford, Illinois |
| Phone Number | 8152262000 |
| Fax Number | 8153817582 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1497784797 |
|---|---|
| Provider Enumeration Date | 2006-07-01 |
| Last Updated Date | 2013-11-01 |
Provider Mailing Address Detail
| Address | 5666 East State St |
|---|---|
| City | Rockford |
| State | Illinois (IL) |
| Post Code | 611082472 |
| Phone Number | 8152262000 |
| Fax Number | 8153817582 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medical Services |
|---|---|
| Taxonomy | 207Pe0004X |
| Licence No | 36067306 |
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Definition: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36067306 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Gregory Bullis?
The Gregory Bullis has been issued the NPI (National Provider Identifier) 1497784797 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete address where Gregory Bullis is physically located?
The Gregory Bullis is situated at the following address: 5666 East State St, Rockford, IL 611082472.
What is the area of specialization for Gregory Bullis, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Gregory Bullis is Emergency Medical Services, and the corresponding taxonomy code that categorizes this area of expertise is 207Pe0004X.
When did the Gregory Bullis receive its 1497784797?
The Gregory Bullis was issued its 1497784797 on 2006-07-01, which is the date when the organization was assigned this unique identifier.
When was the Gregory Bullis's information last updated?
The Gregory Bullis's information was last updated on 2013-11-01.