Fulnecky, Eric J.
Fulnecky, Eric J. is an individual health care provider with primary practice located at 1900 S National Ave Suite 2955, Springfield MO 65804-2265. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Fulnecky, Eric J. can be contacted via phone (417) 820-3905.Contact Information
Primary practice address
1900 S National Ave Suite 2955
Springfield MO 65804-2265
Phone: (417) 820-3905
Fax: (417) 820-3528
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 2004006990 | Missouri |
Profile Details
| NPI number | 1922176635 |
|---|---|
| LBN Legal business name | Fulnecky, Eric J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Jul 11th, 2008 - about 16 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 | 1922176635 | NPPES |
| Missouri | MEDICAID | 209153907 | |
| Missouri | Other | P00207385 | |
| Missouri | Other | 431560263 |
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