Blaine Bulloch

NPI 1275277733 · on the registry since 2022 · sole proprietor

Practice

Address: 1804 N 7th St
West Monroe, LA 71291
Phone: (318) 325-2610
Fax: (318) 325-7715
Organisation at this address: Joseph E Humble And Raymond Haik, Ptrs
Joseph E Humble And Raymond Haik, Ptrs
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 11

Registry record

Primary taxonomy: 207W00000X
207W00000X
Licence states on file: LA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2026-07-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana