Fullenkamp, Jeffrey F

Fullenkamp, Jeffrey F is an individual health care provider with primary practice located at 2701 17Th St , Rock Island IL 61201-5351. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Fullenkamp, Jeffrey F can be contacted via phone (309) 779-5000.

Contact Information

Primary practice address
2701 17Th St Rock Island IL 61201-5351
Phone: (309) 779-5000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X Illinois
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X Illinois

Profile Details

NPI number 1225017965
LBN Legal business name Fullenkamp, Jeffrey F
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Oct 17th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225017965 NPPES
Iowa MEDICAID 3994418
Iowa MEDICAID 2994418

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