Individual
DAVID CHRISTOPHER FULTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5321 MAIN RD, SWEET VALLEY, PA 18656-2340
(570) 477-2778
(570) 477-3572
Mailing address
5321 MAIN RD, PO BOX 334, 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
01
—
002761629
HIGHMARK BLUE SHIELD/FPLIC
PA
01
—
830982
FIRST PRIORITY HEALTH
PA
Enumeration date
12/21/2012
Last updated
06/02/2014
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