Fulmer, D. Shane

Fulmer, D. Shane is an individual health care provider with primary practice located at 260 Fort Sanders West Blvd Suite 110, Knoxville TN 37922-3355. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as his primary health care specialty. Fulmer, D. Shane can be contacted via phone (865) 558-4491.

Contact Information

Primary practice address
260 Fort Sanders West Blvd Suite 110 Knoxville TN 37922-3355
Phone: (865) 558-4491
Fax: (865) 558-4493
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 748 Tennessee

Profile Details

NPI number 1851355879
LBN Legal business name Fulmer, D. Shane
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Aug 14th, 2020 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1851355879 NPPES
Tennessee Other 5942420 CIGNA
Tennessee MEDICAID 3656592 CIGNA
Tennessee Other 4111141 CIGNA

Popular Providers