Fulkerson, Tara

Fulkerson, Tara is an individual health care provider with primary practice located at 4710 Champions Trace Ln #104, Louisville KY 40218-3495. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Fulkerson, Tara can be contacted via phone (502) 589-8600.

Contact Information

Primary practice address
4710 Champions Trace Ln #104 Louisville KY 40218-3495
Phone: (502) 589-8600
Fax: (502) 589-8771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1265772867
LBN Legal business name Fulkerson, Tara
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2013
Last updated May 5th, 2014 - about 11 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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