Fulton, Amy

Fulton, Amy is an individual health care provider with primary practice located at 5615 Nw 86Th St , Johnston IA 50131-1738. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fulton, Amy can be contacted via phone (515) 643-6000.

Contact Information

Primary practice address
5615 Nw 86Th St Johnston IA 50131-1738
Phone: (515) 643-6000
Fax: (515) 643-6001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33670 Iowa

Profile Details

NPI number 1043229446
LBN Legal business name Fulton, Amy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Apr 8th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043229446 NPPES
Iowa MEDICAID 1188094

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