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Contact Information

ELIZABETH FULLERTON
1420 N 10TH ST SUITE 1
SPEARFISH, SD57783
 Phone: 605-717-8595
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for ELIZABETH FULLERTON · (Female)

NPI # 1396469110
Status Active
Credentials
Entity Individual
Enumeration date 09/27/2022
Last updated 09/27/2022 - About 4 years ago
Sole proprietor 1 No
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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