Fultz, Brandon
Fultz, Brandon is an individual health care provider with primary practice located at 747 E County Line Rd Ste H , Greenwood IN 46143-1082. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Fultz, Brandon can be contacted via phone (317) 528-8009.Contact Information
Primary practice address
747 E County Line Rd Ste H
Greenwood IN 46143-1082
Phone: (317) 528-8009
Fax: (317) 528-8012
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 10001066A | Indiana |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10001066A | Indiana |
Profile Details
| NPI number | 1902031131 |
|---|---|
| LBN Legal business name | Fultz, Brandon |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2009 |
| Last updated | Jul 20th, 2023 - about 3 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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