Fultz, Jennifer

Fultz, Jennifer is an individual health care provider with primary practice located at 7459 Burlington Pike , Florence KY 41042-1553. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Fultz, Jennifer can be contacted via phone (859) 331-3292.

Contact Information

Primary practice address
7459 Burlington Pike Florence KY 41042-1553
Phone: (859) 331-3292
Fax: (859) 578-2864
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 171293 Kentucky

Profile Details

NPI number 1548703895
LBN Legal business name Fultz, Jennifer
Credentials LPCA
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 18th, 2016
Last updated Nov 18th, 2016 - about 10 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 1548703895 NPPES
Kentucky Other 610661458 TAX ID

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