Fultz, Rebecca Lu

Fultz, Rebecca Lu is an sole proprietor health care provider with primary practice located at 1848 93Rd Ave Apt C , Dresser WI 54009-4627. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Nursing Service Providers / Case Management. Nursing Service Providers / Case Management is her primary health care specialty. Fultz, Rebecca Lu can be contacted via phone (171) 555-4204.

Contact Information

Primary practice address
1848 93Rd Ave Apt C Dresser WI 54009-4627
Phone: (171) 555-4204
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 306538-031 Wisconsin
Nursing Service Providers / Case Management 163WC0400X 174688-030 Wisconsin

Profile Details

NPI number 1982861944
LBN Legal business name Fultz, Rebecca Lu
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2008
Last updated May 23rd, 2011 - about 13 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 1982861944 NPPES
Wisconsin MEDICAID 3950845470

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