| Bill Fulton Lcsw Pc | |
|
2290 E 4500 S Suite 230 Salt Lake City UT 84117-4492 | |
| (801) 278-2298 | |
| Not Available |
| Full Name | Bill Fulton Lcsw Pc |
|---|---|
| Speciality | Social Worker |
| Location | 2290 E 4500 S, Salt Lake City, Utah |
| Authorized Official Name and Position | William John Fulton (BILL FULTON LCSW PC) |
| Authorized Official Contact | 8012782298 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bill Fulton Lcsw Pc 2290 E 4500 S Suite 230 Salt Lake City UT 84117-4492 Ph: (801) 278-2298 | Bill Fulton Lcsw Pc 2290 E 4500 S Suite 230 Salt Lake City UT 84117-4492 Ph: (801) 278-2298 |
| NPI Number | 1750535787 |
|---|---|
| Provider Enumeration Date | 11/04/2008 |
| Last Update Date | 11/04/2008 |
| Medicare PECOS PAC ID | 4688737398 |
|---|---|
| Medicare Enrollment ID | O20090107000112 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750535787 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 88-135506-3501 (Utah) | Primary |
| Provider Name | William J Fulton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053448670 PECOS PAC ID: 7810050523 Enrollment ID: I20090107000074 |
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