Organization
FULTZ FAMILY CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID CHRISTOPHER FULTZ D.C. (OWNER)
(570) 477-2778
Entity
Organization
Contact information
Practice address
5321 MAIN RD, SWEET VALLEY, PA 18656-2340
(570) 477-2778
(570) 477-3572
Mailing address
5321 MAIN RD, SWEET VALLEY, PA 18656-2340
(570) 477-2778
(570) 477-3572
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC010678
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029091880001
—
PA
01
—
1150787
AMERICAN SPECIALTY HEALTH
—
01
—
158890
GEISINGER HEALTH PLAN
—
01
—
832683
FIRST PRIORITY HEALTH
—
Enumeration date
06/02/2014
Last updated
08/11/2014
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