Fulcomer, Andrea B

Fulcomer, Andrea B is an individual health care provider with primary practice located at 3505 N Bell School Rd , Rockford IL 61114-6624. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fulcomer, Andrea B can be contacted via phone (779) 696-0300.

Contact Information

Primary practice address
3505 N Bell School Rd Rockford IL 61114-6624
Phone: (779) 696-0300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50-00-1216 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.004757 Illinois

Profile Details

NPI number 1972552131
LBN Legal business name Fulcomer, Andrea B
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2006
Last updated Mar 9th, 2021 - about 3 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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