Jeffrey F Fullenkamp Do Ltd
LBN: Jeffrey F Fullenkamp Do Ltd
Jeffrey F Fullenkamp Do Ltd is an health care organization with primary practice located at 2701 17Th St , Rock Island IL 61201-5351. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is the primary health care specialty.
Jeffrey F Fullenkamp Do Ltd can be contacted via phone (309) 779-5000, or through Fullenkamp, Jeffrey F via phone (309) 762-9711.
Contact Information
Primary practice address
2701 17Th St
Rock Island IL 61201-5351
Phone: (309) 779-5000
Fax:
Website:
Authorized official contact:
Name: Fullenkamp, Jeffrey F Doctor of Osteopathy (DO)
Phone: (309) 762-9711
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | Illinois | |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | Illinois |
Profile Details
| NPI number | 1831178573 |
|---|---|
| LBN Legal business name | Jeffrey F Fullenkamp Do Ltd |
| DBA Doing business as | |
| Authorized official | Fullenkamp, Jeffrey F Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Oct 29th, 2007 - about 17 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1831178573 | NPPES |
| Iowa | MEDICAID | 2994418 | |
| Iowa | MEDICAID | 3994418 |
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