Individual
JOHN H BULTHOUSE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
655 W LINCOLN AVE STE 8, CHARLESTON, IL 61920-2461
(217) 254-6582
Mailing address
311 W MAIN ST, OAKLAND, IL 61943-7109
(217) 512-9178
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/17/2020
Last updated
12/17/2020
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