Dr. Mark Douglas Fullmer
Chiropractor
471 Ainsley Ave
Yuba City
, California 95991-4105
Dr. Mark Douglas Fullmer
Chiropractor
471 Ainsley Ave
Yuba City
, California 95991-4105
(530) 755-3205
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About
Features
Specialties
- Chiropractor
Languages spoken
- English
Location
First Address
- Dr. Mark Douglas Fullmer
- 471 Ainsley Ave
- Yuba City, CA
- Zip : 95991-4105
- Fax : (530) 755-3205
- Phone : (530) 755-3200
Second Address
- Dr. Mark Douglas Fullmer
- 471 Ainsley Ave
- Yuba City, CA
- Zip : 95991-4105
- Fax : (530) 755-3205
- Phone : (530) 755-3200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 20590 | CA |
National Provider Identifier
| NPI | 1003023425 |
|---|---|
| Provider Name | Dr. Mark Douglas Fullmer |
| First Address | Yuba City, CA 95991-4105 |
| Second Address | Yuba City, CA 95991-4105 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/05/2007 |
| Last Update Date | 18/08/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1811084973 | FACILITY NPI NUMBER (01) | CA |
| DC0205900 | (05) | CA |
| GDC000590 | (05) | CA |
| U19278 | (02) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.