Individual provider · Type 1 NPI

Affie Ann Bullock

Private Vehicle · Elkhart, IN

NPI number 1083321301 Active

Practice location

26797 Roseland Rd
Elkhart, IN 46514-6122

Call (574) 215-6628 Map

Specialties and licenses

TaxonomyCodeLicense
Private Vehicle Primary 347C00000X597RBZ (IN)

Private Vehicle: An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

About NPI 1083321301

Affie Ann Bullock's National Provider Identifier is 1083321301, issued on Nov 7, 2022. The primary taxonomy on file is Private Vehicle (347C00000X), and the practice location is in Elkhart, IN. The record was last updated on Nov 7, 2022.