Fultz, Jeffrey C

Fultz, Jeffrey C is an individual health care provider with primary practice located at 3245 Hospital Dr , Juneau AK 99801-7809. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Fultz, Jeffrey C can be contacted via phone (907) 463-6682.

Contact Information

Primary practice address
3245 Hospital Dr Juneau AK 99801-7809
Phone: (907) 463-6682
Fax: (907) 463-6648
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 857 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1694 New Mexico
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2639 Alaska

Profile Details

NPI number 1366427676
LBN Legal business name Fultz, Jeffrey C
Credentials DC PT
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 8th, 2005
Last updated Aug 14th, 2013 - about 13 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 1366427676 NPPES
Arizona MEDICAID 446551
Arizona MEDICAID 93438061
Arizona MEDICAID 29783739

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