Fulp, Cathy A
Fulp, Cathy A is an individual health care provider with primary practice located at 10564 N Main St Ste E, Archdale NC 27263-2472. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Pediatrics. Eye and Vision Services Providers / Optometrist is her primary health care specialty. Fulp, Cathy A can be contacted via phone (336) 434-4033.Contact Information
Primary practice address
10564 N Main St Ste E
Archdale NC 27263-2472
Phone: (336) 434-4033
Fax: (336) 434-4035
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 1388 | North Carolina |
| Eye and Vision Services Providers / Pediatrics | 152WP0200X | 1388 | North Carolina |
Profile Details
| NPI number | 1902803323 |
|---|---|
| LBN Legal business name | Fulp, Cathy A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Oct 13th, 2010 - about 16 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 | 1902803323 | NPPES |
| North Carolina | MEDICAID | 890929A | |
| North Carolina | Other | 0929A |
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