Sharon M Bullock

NPI #1205841624 in Blue Ash, Ohio

Provider Information

NPI Number: 1205841624
Entity Type: Organization
Organization Name: Sharon M Bullock
Primary Specialty: Health Maintenance Organization
Enumeration Date: Jul 31, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 4549 COOPER RD
City: Blue Ash
State: Ohio
ZIP Code: 45242-5607
Phone: (513) 398-2456

Authorized Official

Name: MRS. SHARON M BULLOCK, LPN
Title: INDEPENDENT LPN
Phone: (513) 709-9344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Licensed Practical Nurse	164W00000X
Home Health	251E00000X
Exclusive Provider Organization	302F00000X
Preferred Provider Organization	305R00000X
Non-emergency Medical Transport (VAN)	343900000X
Private Vehicle	347C00000X
Health Maintenance Organization	302R00000X	Primary

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