FULMER AND JOHNSON FOOT & ANKLE , P.A.; NPI #1205869229

Contact Information

FULMER AND JOHNSON FOOT & ANKLE , P.A.

2828 E MILLENNIUM PL
FAYETTEVILLE, AR 72703-6514

Phone: 479-582-1199
Fax: 479-582-1194
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for FULMER AND JOHNSON FOOT & ANKLE , P.A.

NPI # 1205869229

LBN Legal business name FULMER AND JOHNSON FOOT & ANKLE , P.A.

Authorized official GAIL JOHNSON - (PHYSICIAN/SECRETARY AND TREASURER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/10/2006

Last updated 02/19/2008 - About 18 years ago

Identifiers

AR	Medicaid	161082748
OK	Medicaid	200098510A
AR	Other	5F602	BLUE SHIELD

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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FULMER AND JOHNSON FOOT & ANKLE , P.A.

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for FULMER AND JOHNSON FOOT & ANKLE , P.A.

Reviews for FULMER AND JOHNSON FOOT & ANKLE , P.A.