Fullerton, Thomas P

Fullerton, Thomas P is an sole proprietor health care provider with primary practice located at 720 2Nd St E , Kalispell MT 59901-4678. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fullerton, Thomas P can be contacted via phone (406) 257-7463.

Contact Information

Primary practice address
720 2Nd St E Kalispell MT 59901-4678
Fax: (406) 257-7466
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 383 Montana

Profile Details

NPI number 1104997071
LBN Legal business name Fullerton, Thomas P
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 13th, 2006
Last updated Jul 8th, 2007 - about 19 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 1104997071 NPPES
Montana MEDICAID 0161041

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