Fullenwider, Robert Dillon
Fullenwider, Robert Dillon is an individual health care provider with primary practice located at 823 9Th St , Highland IL 62249-1521. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Fullenwider, Robert Dillon can be contacted via phone (618) 654-9848.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046011435 | Illinois |
Profile Details
| NPI number | 1699386755 |
|---|---|
| LBN Legal business name | Fullenwider, Robert Dillon |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2020 |
| Last updated | Aug 12th, 2020 - about 5 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.
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