Fulton, Debra
Fulton, Debra is an sole proprietor health care provider with primary practice located at 817 Federal St , Camden NJ 08103-1539. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Fulton, Debra can be contacted via phone (856) 583-2496.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 22DI02734700 | New Jersey |
Profile Details
| NPI number | 1629112057 |
|---|---|
| LBN Legal business name | Fulton, Debra |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 18th, 2007 |
| Last updated | Apr 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629112057 | NPPES |
| Ohio | MEDICAID | 0696813 | |
| Ohio | Other | 18632 |
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