Fuller, Barbara L

Fuller, Barbara L is an individual health care provider with primary practice located at 1600 S Lake Park Ave Suite1101, Hobart IN 46342-6641. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Fuller, Barbara L can be contacted via phone (219) 947-1795.

Contact Information

Primary practice address
1600 S Lake Park Ave Suite1101 Hobart IN 46342-6641
Phone: (219) 947-1795
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 036056161 Illinois
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 01034701A Indiana

Profile Details

NPI number 1972545804
LBN Legal business name Fuller, Barbara L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jan 2nd, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1972545804 NPPES
Illinois MEDICAID 036056161
Illinois MEDICAID 100394430
Illinois MEDICAID 100213850F

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