Fulk, John D

Fulk, John D is an individual health care provider with primary practice located at 1302 Franklin Ave Suite 4800, Normal IL 61761-3551. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fulk, John D can be contacted via phone (309) 454-5900.

Contact Information

Primary practice address
1302 Franklin Ave Suite 4800 Normal IL 61761-3551
Phone: (309) 454-5900
Fax: (309) 454-2820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085001126 Illinois

Profile Details

NPI number 1063419679
LBN Legal business name Fulk, John D
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2005
Last updated Apr 4th, 2019 - about 5 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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