Individual
MR. ERIC FULTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2118 25TH ST STE J, COLUMBUS, IN 47201-3240
(812) 372-8426
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(812) 376-5315
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004336A
IN
Other
Enumeration date
06/12/2023
Last updated
02/23/2026
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