Fullmer, Mark Douglas

Fullmer, Mark Douglas is an individual health care provider with primary practice located at 471 Ainsley Ave , Yuba City CA 95991-4105. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fullmer, Mark Douglas can be contacted via phone (530) 755-3200.

Contact Information

Primary practice address
471 Ainsley Ave Yuba City CA 95991-4105
Phone: (530) 755-3200
Fax: (530) 755-3205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 20590 California

Profile Details

NPI number 1003023425
LBN Legal business name Fullmer, Mark Douglas
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2007
Last updated Aug 18th, 2010 - about 14 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 1003023425 NPPES
California MEDICAID DC0205900
California Other 1811084973
California MEDICAID GDC000590

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