Zachary J Fulton in Mendota - Family Medicine
Zachary J Fulton - NPI 1982676656
Zachary J Fulton is a Family Medicine in Mendota, Illinois. Zachary J Fulton practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Zachary J Fulton is 1982676656. The last update date is 2022-06-29.
Zachary J Fulton's current location address is 1405 E 12th St Ste 200, Mendota, Illinois. You can contact this provider via phone number 8155391710. The mailing address for Zachary J Fulton is 1405 E 12th St Ste 200, Mendota, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Zachary J Fulton |
|---|---|
| Address | 1405 E 12th St Ste 200, Mendota, Illinois |
| Phone Number | 8155391710 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1982676656 |
|---|---|
| Provider Enumeration Date | 2006-02-06 |
| Last Updated Date | 2022-06-29 |
Provider Mailing Address Detail
| Address | 1405 E 12th St Ste 200 |
|---|---|
| City | Mendota |
| State | Illinois (IL) |
| Post Code | 613429011 |
| Phone Number | 8155391710 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 36111932 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36111932 | IL | -- |
Post Comment/ Review Below
What is the Zachary J Fulton's unique identification number?
The Zachary J Fulton has been assigned the NPI (National Provider Identifier) Number 1982676656 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Zachary J Fulton located?
The Zachary J Fulton is located at 1405 E 12Th St Ste 200, Mendota, IL 613429011.
What is Zachary J Fulton's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Zachary J Fulton's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
When did Zachary J Fulton receive its 1982676656 assignment?
The Zachary J Fulton was assigned its 1982676656 on 2006-02-06, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Zachary J Fulton most recently updated or revised?
The information pertaining to Zachary J Fulton, including its address, specialty, and other relevant details, was last updated or revised on 2022-06-29.