Fulgham, Dorothy Michele
Fulgham, Dorothy Michele is an individual health care provider with primary practice located at 130 Parkway Plz , Kosciusko MS 39090-3217. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Fulgham, Dorothy Michele can be contacted via phone (662) 289-3588.Contact Information
Primary practice address
130 Parkway Plz
Kosciusko MS 39090-3217
Phone: (662) 289-3588
Fax: (662) 289-2486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT1622 | Mississippi |
Profile Details
| NPI number | 1497718399 |
|---|---|
| LBN Legal business name | Fulgham, Dorothy Michele |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Apr 8th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497718399 | NPPES |
| Mississippi | MEDICAID | 00273305 |
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