Jordan Fuller, DPT | |
1523 Us Highway 2, Crystal Falls, MI 49920-9633 | |
(906) 874-1444 | |
Not Available |
Full Name | Jordan Fuller |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 1523 Us Highway 2, Crystal Falls, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386266211 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501019539 (Michigan) | Primary |
Provider Name | Aspirus Iron River Hospital & Clinics Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1497750830 PECOS PAC ID: 5294648929 Enrollment ID: O20031110000264 |
Provider Name | Aspirus Ironwood Hospital & Clinics Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1992704753 PECOS PAC ID: 9032013198 Enrollment ID: O20031121000096 |
Provider Name | Aspirus Keweenaw |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1205998713 PECOS PAC ID: 8123912011 Enrollment ID: O20040211000763 |
Provider Name | Aspirus Iron River Hospital & Clinics Inc |
---|---|
Provider Type | Part A Provider - Critical Access Hospital |
Provider Identifiers | NPI Number: 1497750830 PECOS PAC ID: 5294648929 Enrollment ID: O20061104000339 |
Provider Name | Aspirus Ironwood Hospital & Clinics Inc |
---|---|
Provider Type | Part A Provider - Critical Access Hospital |
Provider Identifiers | NPI Number: 1649297342 PECOS PAC ID: 6406756691 Enrollment ID: O20070223000676 |
Provider Name | Aspirus Keweenaw |
---|---|
Provider Type | Part A Provider - Critical Access Hospital |
Provider Identifiers | NPI Number: 1326115569 PECOS PAC ID: 8123912011 Enrollment ID: O20080123000612 |
Mailing Address | Practice Location Address |
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Jordan Fuller, DPT 836 Cambria Street, Cresson, PA 16630 Ph: (814) 242-3796 | Jordan Fuller, DPT 1523 Us Highway 2, Crystal Falls, MI 49920-9633 Ph: (906) 874-1444 |
Richard L Beaudoin, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 104 4th St, Crystal Falls, MI 49920 Phone: 906-284-1782 | |
Xperience Physical Therapy Pllc Physical Therapist Medicare: Medicare Enrolled Practice Location: 1352 Us Highway 2, Crystal Falls, MI 49920 Phone: 906-874-1124 Fax: 906-874-2124 | |
Mrs. Deborah J Rossato, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1523 West Us 2, Iron County Medical Care Facility, Crystal Falls, MI 49920 Phone: 906-874-1424 |