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Contact Information

FRED FULTON IV
501 BROADWAY ST
DELHI, LA71232-3001
 Phone: 318-878-8658
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Counselor

101Y00000X
 

Mental Health

101YM0800X
 

Pastoral

101YP1600X
Indicates primary specialty

NPI Profile & details for FRED FULTON IV · (Male)

NPI # 1154725315
Status Active
Credentials
Entity Individual
Enumeration date 10/17/2014
Last updated 06/02/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers Not Available
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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