Fullwood, Karen R

Fullwood, Karen R is an sole proprietor health care provider with primary practice located at 4134 E Joppa Rd Ste 101 , Nottingham MD 21236-2277. She recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as her primary health care specialty. Fullwood, Karen R can be contacted via phone (410) 256-1006.

Contact Information

Primary practice address
4134 E Joppa Rd Ste 101 Nottingham MD 21236-2277
Phone: (410) 256-1006
Fax: (410) 256-0088
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 02431 Maryland

Profile Details

NPI number 1366587990
LBN Legal business name Fullwood, Karen R
Credentials HIS
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2007
Last updated Oct 9th, 2019 - about 6 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 1366587990 NPPES
Maryland Other 421CCL CAREFIRST BC/BS

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