# TODD R BULLINGER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1356445084
- **Gender:** Man
- **Credential:** D.C.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 08002237A | IN | — |
| 111N00000X | Chiropractor | 3680 | OH | Yes |

## Other

- **Enumeration date:** 09/12/2006
- **Last updated:** 07/23/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200811670 | — | IN |
| 05 | — | 2624897 | — | OH |
| 01 | — | 9312811 | PTAN | OH |
| 01 | — | 9363471 | PTAN | OH |