Fullam, Patricia D
Fullam, Patricia D is an sole proprietor health care provider with primary practice located at 1501 Lehigh St Suite 210, Allentown PA 18103-3880. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Fullam, Patricia D can be contacted via phone (610) 289-0114.Contact Information
Primary practice address
1501 Lehigh St Suite 210
Allentown PA 18103-3880
Phone: (610) 289-0114
Fax: (610) 289-4282
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | SL-002953-L | Pennsylvania |
Profile Details
| NPI number | 1184750028 |
|---|---|
| LBN Legal business name | Fullam, Patricia D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 26th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1184750028 | NPPES |
| Pennsylvania | MEDICAID | 01698451 |
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