Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. FULLARD DEE FOREMAN JR., BA
Active Sole ProprietorMR. FULLARD DEE FOREMAN JR., BA is a Counselor healthcare provider located in COLLINSVILLE, Oklahoma. NPI 1912307380 is currently active in the NPPES registry. Verify at CMS.
Counselor · COLLINSVILLE, OK
Registration Details
- NPI Number
- 1912307380
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 3, 2014 (11.92556458385 yrs)
- Last Updated
- Sep 3, 2014
- License
-
F082462546 (OK)
- Sole Proprietor
- Yes
Practice Information
- Address
-
13952 N 147TH EAST AVECOLLINSVILLE, OK, 740215690Browse OK providers · Browse ZIP 74021
- Phone
- 9183442536
- Primary Specialty
-
Counselor
101Y00000X
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.