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Affie Ann Bullock
Private Vehicle in Elkhart, Indiana
NPI 1083321301

Affie Ann Bullock is a Private Vehicle based in Elkhart, IN. Affie Ann Bullock practices in Elkhart, IN. The NPI Number for Affie Ann Bullock is 1083321301 and holds a License No. 597RBZ (Indiana).

The current practice location address for Affie Ann Bullock is 26797 Roseland Rd, Elkhart, IN and can be reached out via phone at 574-215-6628. You can also correspond with Affie Ann Bullock through the mailing address at 26797 ROSELAND RD, ELKHART, IN - 46514-6122 (mailing address contact number: 574-215-6628).

Location: 26797 Roseland Rd, Elkhart, IN, 46514-6122
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083321301
Provider Name
Affie Ann Bullock
Credential
Provider Entity Type
Individual
Gender
Female
Address
26797 Roseland Rd, Elkhart, IN, 46514-6122
Phone Number
574-215-6628
Fax Number
Provider Enumeration Date
11/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
26797 Roseland Rd
City
Elkhart
State
Indiana
Zip
46514-6122
Phone Number
574-215-6628
Fax Number
person
Provider Business Mailing Address Details
Address
26797 Roseland Rd
City
Elkhart
State
Indiana
Zip
46514-6122
Phone Number
574-215-6628
Fax Number
person
Provider's Taxonomy Details 1
Type
Transportation Services
Classification
Private Vehicle
Speciality
-
Taxonomy
347C00000X
License No.
597RBZ (Indiana)
Definition
An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.
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