Fulford, Michael D.

Fulford, Michael D. is an sole proprietor health care provider with primary practice located at 304 Laurens St Nw , Aiken SC 29801-3997. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fulford, Michael D. can be contacted via phone (803) 649-9561.

Contact Information

Primary practice address
304 Laurens St Nw Aiken SC 29801-3997
Phone: (803) 649-9561
Fax: (803) 649-2664
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0517 South Carolina

Profile Details

NPI number 1093734469
LBN Legal business name Fulford, Michael D.
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 18th, 2006
Last updated Apr 24th, 2012 - about 14 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 1093734469 NPPES
South Carolina Other 0596560001 DMERC NUMBER
South Carolina Other 410044189 DMERC NUMBER
South Carolina MEDICAID DA9643 DMERC NUMBER

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