Fultz, Jennifer R

Fultz, Jennifer R is an individual health care provider with primary practice located at 4100 W 3Rd St , Dayton OH 45428-9000. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Fultz, Jennifer R can be contacted via phone (937) 268-6511.

Contact Information

Primary practice address
4100 W 3Rd St Dayton OH 45428-9000
Phone: (937) 268-6511
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X

Profile Details

NPI number 1962086058
LBN Legal business name Fultz, Jennifer R
Credentials CTRS
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2021
Last updated May 6th, 2021 - about 4 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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