Fulks, Brian C

Fulks, Brian C is an individual health care provider with primary practice located at 1151 Hospital Way Bldg F, Pocatello ID 83201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fulks, Brian C can be contacted via phone (208) 232-1443.

Contact Information

Primary practice address
1151 Hospital Way Bldg F Pocatello ID 83201
Phone: (208) 232-1443
Fax: (208) 239-3434
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X M-10672 Idaho

Profile Details

NPI number 1730367517
LBN Legal business name Fulks, Brian C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 4th, 2008
Last updated Jul 21st, 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 1730367517 NPPES
Idaho MEDICAID 808342900

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