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

Primary practice address
823 9Th St Highland IL 62249-1521
Phone: (618) 654-9848
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 4 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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