Doctor Name: | MRS. JULIE POPE FULTON |
NPI Number: | 1427140730 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., R.D., C.D. |
License Number: | 1362-029 |
Business Practice Address: | 4940 E State St Suite 3 Rockford, IL - 611082270 |
Business Phone Number: | 8152270081 |
Business Fax Number: | 8153875316 |
Mailing Address: | 607 Sussex Dr, JANESVILLE |
State: | WI |
Postal Code: | 535461915 |
Phone Number: | 6087524309 |
Fax Number: | |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 1362-029 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |