Fulson, Jariah

Fulson, Jariah is an individual health care provider with primary practice located at 2300 S 1St St , Champaign IL 61820-7661. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Fulson, Jariah can be contacted via phone (000) 000-0000.

Contact Information

Primary practice address
2300 S 1St St Champaign IL 61820-7661
Phone: (000) 000-0000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Nebraska
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096004415 Illinois

Profile Details

NPI number 1134520539
LBN Legal business name Fulson, Jariah
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2014
Last updated Jul 21st, 2022 - about 2 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 1134520539 NPPES
Other 2255A2300X ATHLETIC TRAINER

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