Fulton, Louis M

Fulton, Louis M is an individual health care provider with primary practice located at 1300 South Drive Winnebago Mental Health Information, Winnebago WI 54985-0009. He recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as his primary health care specialty. Fulton, Louis M can be contacted via phone (920) 235-4910.

Contact Information

Primary practice address
1300 South Drive Winnebago Mental Health Information Winnebago WI 54985-0009
Phone: (920) 235-4910
Fax: (920) 235-2931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 41378 Minnesota

Profile Details

NPI number 1093702383
LBN Legal business name Fulton, Louis M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2005
Last updated May 11th, 2018 - 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 1093702383 NPPES
Minnesota MEDICAID 626325900

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