John T Fulp is a Chiropractor in Grand Forks, North Dakota. John T Fulp practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for John T Fulp is 1003814484. The last update date is 2007-09-27.
John T Fulp's current location address is 2840 19th Ave S, Grand Forks, North Dakota. You can contact this provider via phone number 7017722670 and fax number 7017722706. The mailing address for John T Fulp is 2840 19th Ave S, Grand Forks, North Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John T Fulp |
|---|---|
| Address | 2840 19th Ave S, Grand Forks, North Dakota |
| Phone Number | 7017722670 |
| Fax Number | 7017722706 |
| Sole Proprietor | N |
| Credentials | D.C. |
NPI Number Detail
| NPI Number | 1003814484 |
|---|---|
| Provider Enumeration Date | 2005-07-11 |
| Last Updated Date | 2007-09-27 |
Provider Mailing Address Detail
| Address | 2840 19th Ave S |
|---|---|
| City | Grand Forks |
| State | North Dakota (ND) |
| Post Code | 582015957 |
| Phone Number | 7017722670 |
| Fax Number | 7017722706 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 566 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 13490 | ND | BC/ND PROVIDER NUMBER | |
| 18198 | ND | -- | |
| N13490 | ND | MEDICARE ID-PIN | |
| 1003950023 | ND | NPI GROUP NUMBER | |
| N70688 | ND | MEDICARE GROUP NUMBER | |
| 1003814484 | ND | NPI | |
| 675-001 | ND | BC/BS ND CLINIC NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to John T Fulp by the Centers for Medicare & Medicaid Services?
The John T Fulp has been issued the NPI (National Provider Identifier) 1003814484 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the John T Fulp located?
The John T Fulp is located at 2840 19Th Ave S, Grand Forks, ND 582015957.
What is the John T Fulp's specialty and taxonomy code?
The John T Fulp's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the John T Fulp receive its 1003814484 assignment from the Centers for Medicare & Medicaid Services?
The John T Fulp was assigned its 1003814484 by the Centers for Medicare & Medicaid Services on 2005-07-11.
As of what date was the information pertaining to John T Fulp, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to John T Fulp, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-09-27.