Fulton, Michael G

Fulton, Michael G is an individual health care provider with primary practice located at 2170 S Lamar Blvd , Oxford MS 38655-5224. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fulton, Michael G can be contacted via phone (662) 234-8559.

Contact Information

Primary practice address
2170 S Lamar Blvd Oxford MS 38655-5224
Fax: (662) 234-7923
Website:

Health care specialties

Profile Details

NPI number 1710982673
LBN Legal business name Fulton, Michael G
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated May 14th, 2013 - about 11 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 1710982673 NPPES
Mississippi Other 650021553 MEDICARE RAILROAD
Mississippi MEDICAID 51511964 MEDICARE RAILROAD
Mississippi Other 51511964 MEDICARE RAILROAD
Mississippi MEDICAID 00120446 MEDICARE RAILROAD

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