Fulroth, Richard

Fulroth, Richard is an individual health care provider with primary practice located at 550 E Washington Blvd , Crescent City CA 95531-8160. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Fulroth, Richard can be contacted via phone (707) 465-6925.

Contact Information

Primary practice address
550 E Washington Blvd Crescent City CA 95531-8160
Phone: (707) 465-6925
Fax: (707) 465-6070
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 35041407 Ohio
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25087 Arizona

Profile Details

NPI number 1346236643
LBN Legal business name Fulroth, Richard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Jul 1st, 2021 - about 5 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 1346236643 NPPES
Ohio MEDICAID 0361513

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