Burke Keith Fulcher
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · China Grove, NC
NPI 1669919957 · NPPES record last updated Jan 24, 2017
Key facts
- NPI
- 1669919957
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 220 Saw Rd
China Grove, NC 28023-8541 - Phone
- (704) 223-0084
- NPI assigned
- Jan 24, 2017
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
220 Saw Rd
China Grove, NC 28023-8541
Mailing address
220 Saw Rd
China Grove, NC 28023-8541
Other providers in China Grove, NC
- Elevate Human Systems
- Family Matters Home Care LLC
- Caitlyn Farr
- Focus Support Group Inc.
- Food Lion LLC
- Tracey West Gilbert
- Casey Lee Goodman
- Cress Goodnight
- Robert Nakura Buki Grant
- Tera Boyd Green
All providers in China Grove, NC · Student in an Organized Health Care Education/Training Program in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.