Individual
TODD R BULLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
415 E KIRACOFE AVE, ELIDA, OH 45807-1031
(419) 227-2639
(419) 227-2640
Mailing address
415 E KIRACOFE AVE, ELIDA, OH 45807-1031
(419) 227-2639
(419) 227-2639
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
08002237A
IN
111N00000X
Chiropractor
Primary
3680
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200811670
—
IN
05
—
2624897
—
OH
01
—
9312811
PTAN
OH
01
—
9363471
PTAN
OH
Enumeration date
09/12/2006
Last updated
07/23/2012
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