Fulenwider, Ann Kathleen

Fulenwider, Ann Kathleen is an individual health care provider with primary practice located at 1625 N George Mason Dr , Arlington VA 22205-3683. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Fulenwider, Ann Kathleen can be contacted via phone (703) 558-6566.

Contact Information

Primary practice address
1625 N George Mason Dr Arlington VA 22205-3683
Phone: (703) 558-6566
Fax: (502) 456-4440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0101040169 Virginia

Profile Details

NPI number 1992845846
LBN Legal business name Fulenwider, Ann Kathleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Dec 6th, 2011 - about 15 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 1992845846 NPPES
Maryland Other 1022-0008 BC/BS CAREFIRST
Maryland MEDICAID 057587300 BC/BS CAREFIRST
Maryland MEDICAID 1992845846 BC/BS CAREFIRST

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