Tully, Robert

Tully, Robert is an sole proprietor health care provider with primary practice located at 3101 Lathrop St , Fairbanks AK 99701-7426. He recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children, which is considered as his primary health care specialty. Tully, Robert can be contacted via phone (907) 459-4700.

Contact Information

Primary practice address
3101 Lathrop St Fairbanks AK 99701-7426
Phone: (907) 459-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Emotionally Disturbed Children 322D00000X

Profile Details

NPI number 1134772700
LBN Legal business name Tully, Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2019
Last updated Jul 22nd, 2019 - about 5 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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