Organization
BALLARD SPEECH & HEARING CTR. P.S.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES VIRGIL FULMER II AUD (AUDIOLOGIST)
(206) 789-7029
Entity
Organization
Contact information
Practice address
5428 BARNES AVE NW, SEATTLE, WA 98107-3839
(206) 789-7029
(206) 789-5485
Mailing address
5428 BARNES AVE NW, SEATTLE, WA 98107-3839
(206) 789-7029
(206) 789-5485
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
LD00000978
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1427137447
PERSONAL NPI
WA
Enumeration date
07/18/2008
Last updated
07/18/2008
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