Fulmer, Brant R.
Fulmer, Brant R. is an individual health care provider with primary practice located at 100 North Academy Ave. , Danville PA 17822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Fulmer, Brant R. can be contacted via phone (570) 271-6328.Contact Information
Primary practice address
100 North Academy Ave.
Danville PA 17822
Phone: (570) 271-6328
Fax: (570) 271-6955
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME 104664 | Florida |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD072746L | Pennsylvania |
Profile Details
| NPI number | 1477521433 |
|---|---|
| LBN Legal business name | Fulmer, Brant R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Aug 12th, 2020 - about 6 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 | 1477521433 | NPPES |
| Pennsylvania | MEDICAID | 001857502 |
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