Fulmore, Theodis

Fulmore, Theodis is an individual health care provider with primary practice located at 4959 Sw 4Th St , Margate FL 33068-3103. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Fulmore, Theodis can be contacted via phone (954) 825-3317.

Contact Information

Primary practice address
4959 Sw 4Th St Margate FL 33068-3103
Phone: (954) 825-3317
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1770105280
LBN Legal business name Fulmore, Theodis
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2020
Last updated May 7th, 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.

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