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Contact Information

REBECCA L FULTON, MD
415 6TH ST
PATHOLOGISTS' REGIONAL LABORATORY
LEWISTON, ID83501-2431
 Phone: 208-746-0516
 Fax: 208-746-4989
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for REBECCA L FULTON · (Female)

NPI # 1093996365
Status Active
Credentials MD
Entity Individual
Enumeration date 11/15/2007
Last updated 10/29/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • ID License # M-11363
  • ID Medicaid 002335700
  • WA Medicaid 002335400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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