Highland Physicians Ltd | |
1212 Broadway Highland IL 62249 | |
(618) 654-9851 | |
(618) 654-1339 |
Full Name | Highland Physicians Ltd |
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Speciality | Nurse Practitioner |
Location | 1212 Broadway, Highland, Illinois |
Authorized Official Name and Position | Roger L Fulton (PRESIDENT) |
Authorized Official Contact | 6186549851 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Highland Physicians Ltd Po Box 181 1212 Broadway Highland IL 62249 Ph: (618) 654-9851 | Highland Physicians Ltd 1212 Broadway Highland IL 62249 Ph: (618) 654-9851 |
NPI Number | 1427065580 |
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Provider Enumeration Date | 08/02/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 3870512809 |
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Medicare Enrollment ID | O20051118000073 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427065580 | NPI | - | NPPES |
Provider Name | Roger L Fulton |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1972542488 PECOS PAC ID: 0244223675 Enrollment ID: I20100602000705 |
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