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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JEREMY D FULTZ

Active Sole Proprietor

MR. JEREMY D FULTZ is a Community/Behavioral Health healthcare provider located in OKLAHOMA CITY, Oklahoma. NPI 1518219484 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · OKLAHOMA CITY, OK

Registration Details

NPI Number
1518219484
Provider Type
Individual
Gender
Male
NPI Issued
Oct 2, 2012 (13.897719169659 yrs)
Last Updated
Oct 2, 2012
License
35-2456420 (OK)
Sole Proprietor
Yes

Practice Information

Address
7620 NW 14TH TER
OKLAHOMA CITY, OK, 731273115
Browse OK providers · Browse ZIP 73127
Phone
4058233920
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Providers in OKLAHOMA CITY, OK

Name Credential NPI
MRS. AUDREY DEANN LESTER PRSS 1124259098
KATRINA C MYLES CASE MANAGER 1699007161
MR. MARK ALAN RYAN TEACHER/REHAB 1487970133
MR. TODD HUNTER MCDOWELL LPC 1265753206
MISS JOYLAN YVONNE NETTER M.ED 1205148152
MS. STEPHANIE J SCOTT 1619277001
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.