Fuller, Alan
Fuller, Alan is an individual health care provider with primary practice located at 4050 Coon Rapids Blvd Mercy Medical Center, Coon Rapids MN 55433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Fuller, Alan can be contacted via phone (763) 236-7144.Contact Information
Primary practice address
4050 Coon Rapids Blvd Mercy Medical Center
Coon Rapids MN 55433
Phone: (763) 236-7144
Fax: (763) 236-7733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 32138 | Minnesota |
Profile Details
| NPI number | 1033178181 |
|---|---|
| LBN Legal business name | Fuller, Alan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1033178181 | NPPES |
| Other | 32138 | MN MEDICAL LICENSE |
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