Fulmer, Susan E
Fulmer, Susan E is an individual health care provider with primary practice located at 2701 Meredyth Dr , Albany GA 31707-2267. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Fulmer, Susan E can be contacted via phone (229) 883-7010.Contact Information
Primary practice address
2701 Meredyth Dr
Albany GA 31707-2267
Phone: (229) 883-7010
Fax: (229) 430-9220
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R033437 | Georgia |
Profile Details
| NPI number | 1689667107 |
|---|---|
| LBN Legal business name | Fulmer, Susan E |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| 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 | 1689667107 | NPPES |
| Georgia | MEDICAID | 00560634A |
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