Provider Demographics
NPI:1326510587
Name:BULL, JANET LOUISE (MA, LAC)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:LOUISE
Last Name:BULL
Suffix:
Gender:F
Credentials:MA, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6113 9TH RD N
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22205-1609
Mailing Address - Country:US
Mailing Address - Phone:703-470-1358
Mailing Address - Fax:
Practice Address - Street 1:2700 REMINGTON AVE STE 400
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211-3042
Practice Address - Country:US
Practice Address - Phone:410-235-1776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-12-27
Last Update Date:2018-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU-2587171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist