Fulton, Mark J.

Fulton, Mark J. is an individual health care provider with primary practice located at 35 E Elizabeth Ave , Bethlehem PA 18018-6505. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Fulton, Mark J. can be contacted via phone (610) 867-4333.

Contact Information

Primary practice address
35 E Elizabeth Ave Bethlehem PA 18018-6505
Phone: (610) 867-4333
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS002565L Pennsylvania

Profile Details

NPI number 1700848074
LBN Legal business name Fulton, Mark J.
Credentials ED.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700848074 NPPES
Pennsylvania Other 01555701 BLUE CROSS
Pennsylvania Other 105653 BLUE CROSS

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