Individual
WILLIAM LEWIS FULCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
036129102
IL
207QA0505X
Adult Medicine Physician
Primary
11090
AL
207QA0505X
Adult Medicine Physician
36296
AZ
207R00000X
Internal Medicine Physician
Primary
11090
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009985835
—
AL
01
—
036129102
LICENSE
IL
01
—
051035000
BLUE CROSS
AL
01
—
36296
LICENSE
AZ
01
—
A160326983
MEDICARE PTAN
AL
01
—
MD.11090
MEDICAL LICENSE
AL
Enumeration date
06/16/2006
Last updated
03/03/2026
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