Dr William Mk Fullmer, DC | |
10800 Lockwood Dr, Silver Spring, MD 20901-1554 | |
(508) 697-5336 | |
(508) 697-1599 |
Full Name | Dr William Mk Fullmer |
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Gender | Male |
Speciality | Chiropractic |
Experience | 29 Years |
Location | 10800 Lockwood Dr, Silver Spring, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053418715 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 03493 (Maryland) | Primary |
111N00000X | Chiropractor | 2173 (Massachusetts) | Secondary |
111N00000X | Chiropractor | 0104556486 (Virginia) | Secondary |
Provider Name | Life Chiropractic Clinics Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750667945 PECOS PAC ID: 2769657469 Enrollment ID: O20111208000051 |
Mailing Address | Practice Location Address |
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Dr William Mk Fullmer, DC 30 Appletree Cir, Bridgewater, MA 02324-2932 Ph: (508) 697-5336 | Dr William Mk Fullmer, DC 10800 Lockwood Dr, Silver Spring, MD 20901-1554 Ph: (508) 697-5336 |
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