Artis, Fulesie Gray
Artis, Fulesie Gray is an sole proprietor health care provider with primary practice located at 17 Ruth Ave , Clifton NJ 07014-1818. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. Artis, Fulesie Gray can be contacted via phone (973) 778-4943.Contact Information
Primary practice address
17 Ruth Ave
Clifton NJ 07014-1818
Phone: (973) 778-4943
Fax: (973) 778-4943
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot Surgery | 213ES0131X | MD002535 | New Jersey |
Profile Details
| NPI number | 1316002322 |
|---|---|
| LBN Legal business name | Artis, Fulesie Gray |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 27th, 2006 |
| Last updated | Jul 9th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1316002322 | NPPES |
| New Jersey | Other | 1499599 | GHI PPO |
| New Jersey | MEDICAID | 9017909 | GHI PPO |
| New Jersey | Other | 3550373 | GHI PPO |
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