Dr. Jeryl Glynn Fullen is a Logansport, Indiana based male orthopedic surgeon who is specialized in Orthopedic Surgery. Active license number of Dr. Jeryl Glynn Fullen is 01063517A for Orthopedic Surgery in Indiana.
Dr. Jeryl Glynn Fullen is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means including the patients with musculoskeletal problems which include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. Patients with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system are also concerned.
Complete Profile:
Dr. Jeryl Glynn Fullen speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1275631020
NPI Enumeration Date:
20 Sep, 2006
NPI Last Update On:
16 Jan, 2014
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jeryl Glynn Fullen are as mentioned below.
License Number
Specialization
State
Status
01063517A
Orthopedic Surgery
Indiana
Primary
04-16478
Orthopedic Surgery
Kansas
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jeryl Glynn Fullen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200993900
Medicaid
Indiana
000000696600
Other
Indiana
ANTHEM
5N934
Other
Arkansas
MEDICARE PTAN
100118960A
Medicaid
Kansas
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
1101 Michigan Ave, Logansport, Indiana
Zip:
46947-1528
Phone Number:
574-753-1729
Fax Number:
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Patients can reach Dr. Jeryl Glynn Fullen at 1101 Michigan Ave, Logansport, Indiana or can call to book an appointment on 574-753-1729. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.
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