Fulbeck, Charles L

Fulbeck, Charles L is an individual health care provider with primary practice located at 1551 Bishop St Suite 420, San Luis Obispo CA 93401-4635. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Fulbeck, Charles L can be contacted via phone (805) 549-9533.

Contact Information

Primary practice address
1551 Bishop St Suite 420 San Luis Obispo CA 93401-4635
Phone: (805) 549-9533
Fax: (805) 549-8001
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X G50143 California

Profile Details

NPI number 1922089507
LBN Legal business name Fulbeck, Charles L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Sep 26th, 2007 - about 17 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 1922089507 NPPES
California MEDICAID 00G501430

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