Dr. Wm John Bullis
Gynecologist
8610 Ne 17th St
Clyde Hill
, Washington 98004-3241
Dr. Wm John Bullis
Gynecologist
8610 Ne 17th St
Clyde Hill
, Washington 98004-3241
(509) 720-0691
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About
Features
Specialties
- Gynecologist
Languages spoken
- English
Location
First Address
- Dr. Wm John Bullis
- 8610 Ne 17th St
- Clyde Hill, WA
- Zip : 98004-3241
- Phone : (509) 720-0691
Second Address
- Dr. Wm John Bullis
- 8610 Ne 17th St
- Clyde Hill, WA
- Zip : 98004-3241
- Phone : (509) 720-0691
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207VG0400X | Gynecologist | 60033065 | WA |
| N | 207VG0400X | Gynecologist | M-10613 | ID |
National Provider Identifier
| NPI | 1063473841 |
|---|---|
| Provider Name | Dr. Wm John Bullis |
| First Address | Clyde Hill, WA 98004-3241 |
| Second Address | Clyde Hill, WA 98004-3241 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/03/2006 |
| Last Update Date | 21/07/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 11941 | BLUE CROSS BLUE SHIELD (01) | |
| 160051634 | MEDICARE RAILROAD (01) | |
| 86806 | MEDCOST (01) | |
| 8911941 | (05) | NC |
| 9663436 | GHI (01) | |
| FH1000860 | FIRST CAROLINA CARE (01) | |
| G91651 | (02) | |
| N0044A | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.