Fulgham, Robert R

Fulgham, Robert R is an individual health care provider with primary practice located at 891 Mountain Ranch Rd , San Andreas CA 95249-9713. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Fulgham, Robert R can be contacted via phone (209) 754-6555.

Contact Information

Primary practice address
891 Mountain Ranch Rd San Andreas CA 95249-9713
Phone: (209) 754-6555
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X

Profile Details

NPI number 1306984778
LBN Legal business name Fulgham, Robert R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Jul 8th, 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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