Fullan, Debra
Fullan, Debra is an individual health care provider with primary practice located at 4905 W Tilghman St Suite 250, Allentown PA 18104-9130. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Fullan, Debra can be contacted via phone (484) 866-9583.Contact Information
Primary practice address
4905 W Tilghman St Suite 250
Allentown PA 18104-9130
Phone: (484) 866-9583
Fax: (610) 366-1147
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | OS007883L | Pennsylvania |
Profile Details
| NPI number | 1457349144 |
|---|---|
| LBN Legal business name | Fullan, Debra |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 7th, 2005 |
| Last updated | Feb 27th, 2014 - about 11 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 | 1457349144 | NPPES |
| Pennsylvania | Other | 1105125 | KEYSTONE MERCY |
| Pennsylvania | Other | 01749864 | KEYSTONE MERCY |
| Pennsylvania | MEDICAID | 0017498640 | KEYSTONE MERCY |
| Pennsylvania | Other | 000000097909 | KEYSTONE MERCY |
| Pennsylvania | Other | 0671239000 | KEYSTONE MERCY |
| Pennsylvania | Other | 1105125 | KEYSTONE MERCY |
| Pennsylvania | Other | 163943 | KEYSTONE MERCY |
| Pennsylvania | Other | 0163943 | KEYSTONE MERCY |
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