Fulcher, Todd L

Fulcher, Todd L is an sole proprietor health care provider with primary practice located at Manhattan Nursing And Rehabilitation Center 4540 Manhattan Rd, Jackson MS 39206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fulcher, Todd L can be contacted via phone (601) 206-0901.

Contact Information

Primary practice address
Manhattan Nursing And Rehabilitation Center 4540 Manhattan Rd Jackson MS 39206
Phone: (601) 206-0901
Fax: (888) 240-6288
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12503 Mississippi

Profile Details

NPI number 1124097191
LBN Legal business name Fulcher, Todd L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 14th, 2006
Last updated Jan 17th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124097191 NPPES
Mississippi Other 753068151002 TRICARE
Mississippi Other P00061664 TRICARE
Mississippi Other 753068151 TRICARE
Mississippi Other 168390700 TRICARE
Mississippi Other 75306815 TRICARE
Mississippi Other 753068151 TRICARE
Mississippi MEDICAID 00111649 TRICARE
Mississippi Other 753068151 TRICARE
Mississippi Other 4554283 TRICARE

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