DR. THOMAS OWEN FULLMER


Address: 1652 S Highway 165, Providence, UT 84332-6701
Phone: 4357525522

DR. THOMAS OWEN FULLMER (NPI# 1134451529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134451529
Entity Type Individual
Full Name DR. THOMAS OWEN FULLMER
Credential D.C.
Practice Address 1652 S Highway 165
Providence
UT 84332-6701
Practice Telephone 4357525522
Practice Fax Number 4357523075
Mailing Telephone 4357525522
Mailing Fax Number 4357523075
Enumeration Date 2010-02-09
Last Update Date 2014-09-10
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 111N00000X Chiropractor 7563542-1202 UT Chiropractic Providers

Other Providers THOMAS FULLMER

NPI Name Taxonomy Address Enumeration
1245355353 Thomas E Fullmer Physical Therapist 1720 W Southern Ave, Suite B1-b6, Mesa, AZ 85202-4834 2007-03-20

Office Location

Street Address 1652 S HIGHWAY 165
City PROVIDENCE
State UT
Zip Code 84332-6701

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750564514 South Valley Pharmacy Pharmacy 1652 S Highway 165, Providence, UT 84332-6701 2007-12-14
1184949349 Fullmer Chiropractic Chiropractor 1652 S Highway 165, Providence, UT 84332-6701 2010-03-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1881292167 3bc Incorporated Pharmacy 435 North Gateway Drive #802, Providence, UT 84332 2020-10-09
1962049932 Wholelife Family Wellness Clinic of Providence Pllc Counselor 169 N Gateway Dr. Suite 170, Providence, UT 84332 2019-12-09
1033503420 Spring Creek Surgical Center, LLC Clinic/Center 65 North Gateway Drive, Suite 3, Providence, UT 84332 2015-03-24
1558751438 Naturopathic Medical, P.C. Naturopath 565 W. 465 N., Suite 150, Providence, UT 84332 2015-01-29
1821421710 Erin Campbell Physical Therapist 267 West Spring Creek Parkway, Providence, UT 84332 2013-08-14
1285981530 Jordan Joseph Hansen Dentist 169 N Gateway Drive, Suite 200, Providence, UT 84332 2012-08-06
1598086720 Cory B Maughan Dermatology 169 N Gateway Dr Ste 100, Providence, UT 84332 2010-06-22
1528299245 South Valley Eyecare Center, Inc. Optometrist 276 Springcreek Pkwy, Providence, UT 84332 2009-07-29
1316134356 Heather Saxton Maughan Speech-Language Pathologist 344 E Edgehill Dr, Providence, UT 84332 2007-10-03
1902021538 Brad L Thomas Physical Therapist 169 Spring Creek Park Way, Suite 140, Providnce, UT 84332 2007-04-17
Find all providers in zip 84332

Taxonomy Information

Taxonomy Code 111N00000X
Grouping Chiropractic Providers
Classification Chiropractor

Taxonomy Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699282426 Brett Cameron Murdock Chiropractor 555 W 100 N Ste C, Providence, UT 84332-9863 2018-01-02
1902108483 Spencer William Wade Chiropractor 565 W 465 N, Suite 140, Providence, UT 84332-4801 2010-12-03
1639495278 Lighthouse Chiropractic, PC Chiropractor 717 Allens Ave, Providence, RI 02905-5412 2010-04-07
1366682759 Joachim Elias Badway Chiropractor 176 Webster Ave, Providence, RI 02909-3829 2009-02-25
1942479969 Andrew Joseph Lombardi Jr. Chiropractor 895 N Main St, Providence, RI 02904-5712 2008-02-23
1023298338 Back In Motion Inc Chiropractor 756 Eddy St, Providence, RI 02903-4931 2007-11-05
1689863474 Ptw and Cvd Enterprises LLC Chiropractor 544a Chalkstone Ave, Providence, RI 02908-3618 2007-10-17
1881719441 Arianna Iannuccilli Chiropractor 248 Atwells Ave, Providence, RI 02903-1529 2007-03-20
1316076342 Mulak Chiropractic Center Inc Chiropractor 411 Broadway, Providence, RI 02909 2007-03-05
1093842684 Ronald E Clary Jr. Chiropractor 180 Whitford Ave, Providence, RI 02908-3360 2007-02-28
Find all providers in PROVIDENCE

Competitor

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City PROVIDENCE
Zip Code 84332

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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