Fultz, Kristopher Roger
Fultz, Kristopher Roger is an sole proprietor health care provider with primary practice located at 4440 W 95Th St Ste Aip , Oak Lawn IL 60453-2600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Fultz, Kristopher Roger can be contacted via phone (708) 684-5094.Contact Information
Primary practice address
4440 W 95Th St Ste Aip
Oak Lawn IL 60453-2600
Phone: (708) 684-5094
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 036.151194 | Illinois |
Profile Details
NPI number | 1083842439 |
---|---|
LBN Legal business name | Fultz, Kristopher Roger |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 24th, 2009 |
Last updated | Oct 15th, 2020 - 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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