Fulwider, Cole Marie
Fulwider, Cole Marie is an individual health care provider with primary practice located at 3772 Katella Ave. Suite 206, Los Alamitos CA 90720-6428. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Fulwider, Cole Marie can be contacted via phone (562) 430-4294.Contact Information
Primary practice address
3772 Katella Ave. Suite 206
Los Alamitos CA 90720-6428
Phone: (562) 430-4294
Fax: (562) 493-3573
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | G37354 | California |
Profile Details
| NPI number | 1033188560 |
|---|---|
| LBN Legal business name | Fulwider, Cole Marie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Jun 18th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033188560 | NPPES |
| California | Other | G37354A | PTAN |
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