Folsom, Earl Eugene

Folsom, Earl Eugene is an individual health care provider with primary practice located at 1203 E Jackson St , Thomasville GA 31792-4748. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Folsom, Earl Eugene can be contacted via phone (229) 228-4155.

Contact Information

Primary practice address
1203 E Jackson St Thomasville GA 31792-4748
Phone: (229) 228-4155
Fax: (229) 226-2321
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1436 Georgia

Profile Details

NPI number 1043409907
LBN Legal business name Folsom, Earl Eugene
Credentials P.T., D.P.T, C.H.T
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2007
Last updated Apr 10th, 2014 - about 11 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 1043409907 NPPES
Georgia MEDICAID 000296062A
Georgia Other 116558

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