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Contact Information

VICTORIA C FULK, MS, LAT, ATC
306 S MOUNTAIN BLVD
WILKES-BARRE, PA18702
 Phone: 570-234-6370
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for VICTORIA C FULK · (Female)

NPI # 1154556090
Status Active
Credentials MS, LAT, ATC
Entity Individual
Enumeration date 05/21/2009
Last updated 11/07/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • PA License # RT004331
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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