Joshua Jefferson Broman-Fulks in Boone - Exercise & Sports
Joshua Jefferson Broman-Fulks - NPI 1184702151
Joshua Jefferson Broman-Fulks is a Exercise & Sports in Boone, North Carolina. Joshua Jefferson Broman-Fulks practices all healthcare services and medical treatments related to Exercise & Sports. The NPI Number for Joshua Jefferson Broman-Fulks is 1184702151. The last update date is 2010-09-14.
Joshua Jefferson Broman-Fulks's current location address is 222 Birch St, Boone, North Carolina. You can contact this provider via phone number 8284061760 and fax number 8282622974. The mailing address for Joshua Jefferson Broman-Fulks is 222 Birch St, Boone, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joshua Jefferson Broman-Fulks |
|---|---|
| Address | 222 Birch St, Boone, North Carolina |
| Phone Number | 8284061760 |
| Fax Number | 8282622974 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1184702151 |
|---|---|
| Provider Enumeration Date | 2006-11-01 |
| Last Updated Date | 2010-09-14 |
Provider Mailing Address Detail
| Address | 222 Birch St |
|---|---|
| City | Boone |
| State | North Carolina (NC) |
| Post Code | 286075067 |
| Phone Number | 8284061760 |
| Fax Number | 8282622974 |
Provider's Primary Taxonomy Detail
| Speciality | Exercise & Sports |
|---|---|
| Taxonomy | 103Te1100X |
| Licence No | 3587 |
|
Definition: A psychologist with a proficiency in sports psychology that uses psychological knowledge and skills to address optimal performance and well-being of athletes, developmental and social aspects of sports participation, and systemic issues associated wi |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 6001066 | NC | -- | |
| 069UW | NC | BLUE CROSS BLUE SHIELD NORTH C |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Joshua Jefferson Broman-Fulks by the Centers for Medicare & Medicaid Services?
The Joshua Jefferson Broman-Fulks has been assigned the NPI (National Provider Identifier) 1184702151 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where Joshua Jefferson Broman-Fulks is physically located?
The Joshua Jefferson Broman-Fulks is situated at the following address: 222 Birch St, Boone, NC 286075067.
What is Joshua Jefferson Broman-Fulks's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Joshua Jefferson Broman-Fulks is Exercise & Sports, and the taxonomy code that categorizes this field of expertise is 103Te1100X.
On what date was the 1184702151 assigned to Joshua Jefferson Broman-Fulks?
The Joshua Jefferson Broman-Fulks was issued its 1184702151 on 2006-11-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Joshua Jefferson Broman-Fulks, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Joshua Jefferson Broman-Fulks, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-09-14.
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