Fulkerson, Gary

Fulkerson, Gary is an individual health care provider with primary practice located at 3001 N Main St Ste 1C , Prescott Valley AZ 86314-1215. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Fulkerson, Gary can be contacted via phone (928) 458-5470.

Contact Information

Primary practice address
3001 N Main St Ste 1C Prescott Valley AZ 86314-1215
Phone: (928) 458-5470
Fax: (928) 458-5979
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 103161-1206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA1673 Nevada
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 7347 Arizona

Profile Details

NPI number 1730165176
LBN Legal business name Fulkerson, Gary
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2005
Last updated Mar 27th, 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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