Fultz, Annette

Fultz, Annette is an sole proprietor health care provider with primary practice located at 2275 W Broadway St , Idaho Falls ID 83402-2902. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Fultz, Annette can be contacted via phone (208) 524-7400.

Contact Information

Primary practice address
2275 W Broadway St Idaho Falls ID 83402-2902
Phone: (208) 524-7400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 10156-818 Idaho

Profile Details

NPI number 1497154660
LBN Legal business name Fultz, Annette
Credentials CADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 13th, 2014
Last updated Aug 13th, 2014 - about 10 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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