Fulwiley, Reginald

Fulwiley, Reginald is an sole proprietor health care provider with primary practice located at 229 West Main St Suite 12 3Rd Fl, West Point MS 39350-0245. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Fulwiley, Reginald can be contacted via phone (318) 331-3619.

Contact Information

Primary practice address
229 West Main St Suite 12 3Rd Fl West Point MS 39350-0245
Phone: (318) 331-3619
Fax: (601) 510-9052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X R857836 Mississippi

Profile Details

NPI number 1013365659
LBN Legal business name Fulwiley, Reginald
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 24th, 2016
Last updated May 24th, 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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