Louis M Fulton in Winnebago - Child & Adolescent Psychiatry
Louis M Fulton - NPI 1093702383
Louis M Fulton is a Child & Adolescent Psychiatry in Winnebago, Wisconsin. Louis M Fulton practices all healthcare services and medical treatments related to Child & Adolescent Psychiatry. The NPI Number for Louis M Fulton is 1093702383. The last update date is 2018-05-11.
Louis M Fulton's current location address is 1300 South Drive, Winnebago, Wisconsin. You can contact this provider via phone number 9202354910 and fax number 9202372043. The mailing address for Louis M Fulton is 1300 South Drive, Winnebago, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Louis M Fulton |
|---|---|
| Address | 1300 South Drive, Winnebago, Wisconsin |
| Phone Number | 9202354910 |
| Fax Number | 9202372043 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1093702383 |
|---|---|
| Provider Enumeration Date | 2005-10-01 |
| Last Updated Date | 2018-05-11 |
Provider Mailing Address Detail
| Address | 1300 South Drive |
|---|---|
| City | Winnebago |
| State | Wisconsin (WI) |
| Post Code | 54985 |
| Phone Number | 9202354910 |
| Fax Number | 9202372043 |
Provider's Primary Taxonomy Detail
| Speciality | Child & Adolescent Psychiatry |
|---|---|
| Taxonomy | 2084P0804X |
| Licence No | 41378 |
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Definition: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 626325900 | MN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Louis M Fulton?
The Louis M Fulton has been issued the NPI (National Provider Identifier) 1093702383 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Louis M Fulton's physical address?
The Louis M Fulton is physically located at 1300 South Drive, in the city of Winnebago, WI, with the postal code 54985.
What is Louis M Fulton's specialized field of practice, and what is the corresponding taxonomy classification code?
The Louis M Fulton's area of specialization is Child & Adolescent Psychiatry, and the corresponding taxonomy code that categorizes this field of practice is 2084P0804X.
On what date did the Centers for Medicare & Medicaid Services assign the 1093702383 to Louis M Fulton?
The Centers for Medicare & Medicaid Services assigned the 1093702383 to Louis M Fulton on 2005-10-01.
When was the information related to Louis M Fulton most recently updated or refreshed?
The details pertaining to the Louis M Fulton, including its address, specialty, and other relevant information, were last updated or refreshed on 2018-05-11.