Fullan, Sean Patrick

Fullan, Sean Patrick is an individual health care provider with primary practice located at 1701 W. Curtis Road , Champaign IL 61822-9678. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Fullan, Sean Patrick can be contacted via phone (217) 365-6202.

Contact Information

Primary practice address
1701 W. Curtis Road Champaign IL 61822-9678
Phone: (217) 365-6202
Fax: (217) 326-0188
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036133135 Illinois

Profile Details

NPI number 1669791166
LBN Legal business name Fullan, Sean Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2010
Last updated Dec 10th, 2013 - about 12 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.

Request for update

Popular Providers