Shannon E Fulp is a Otolaryngology in Roanoke, Virginia. Shannon E Fulp practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Shannon E Fulp is 1487649414. The last update date is 2023-10-19.
Shannon E Fulp's current location address is 4348 Electric Rd, Roanoke, Virginia. You can contact this provider via phone number 5407690700 and fax number 5407728159. The mailing address for Shannon E Fulp is 4348 Electric Rd, Roanoke, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon E Fulp |
|---|---|
| Address | 4348 Electric Rd, Roanoke, Virginia |
| Phone Number | 5407690700 |
| Fax Number | 5407728159 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1487649414 |
|---|---|
| Provider Enumeration Date | 2005-09-15 |
| Last Updated Date | 2023-10-19 |
Provider Mailing Address Detail
| Address | 4348 Electric Rd |
|---|---|
| City | Roanoke |
| State | Virginia (VA) |
| Post Code | 240180720 |
| Phone Number | 5407690700 |
| Fax Number | 5407728159 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | 101279712 |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 89134RP | NC | -- | |
| P01441425 | NC | RR MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Shannon E Fulp by the Centers for Medicare & Medicaid Services?
The Shannon E Fulp has been issued the NPI (National Provider Identifier) 1487649414, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Shannon E Fulp is physically located?
The Shannon E Fulp is situated at the following address: 4348 Electric Rd, Roanoke, VA 240180720.
What is the Shannon E Fulp's area of specialization and corresponding taxonomy classification?
The Shannon E Fulp's specialty field is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their specialties.
When did Shannon E Fulp receive its 1487649414 assignment?
The Shannon E Fulp was assigned its 1487649414 on 2005-09-15, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Shannon E Fulp most recently updated or revised?
The information pertaining to Shannon E Fulp, including its address, specialty, and other relevant details, was last updated or revised on 2023-10-19.