Individual
BENJAMIN D BULLIMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1001 LAKESIDE AVE E, STE 1000, CLEVELAND, OH 44114-1158
(419) 261-9141
(216) 420-9354
Mailing address
1001 LAKESIDE AVE E, STE 1000, CLEVELAND, OH 44114-1158
(419) 261-9141
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
COA11632NP
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3144010
—
OH
Enumeration date
08/16/2010
Last updated
06/10/2015
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