Fuller, Barry R
Fuller, Barry R is an individual health care provider with primary practice located at 5477 W Clark Rd , Ypsilanti MI 48197-1102. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Fuller, Barry R can be contacted via phone (734) 434-6000.Contact Information
Primary practice address
5477 W Clark Rd
Ypsilanti MI 48197-1102
Phone: (734) 434-6000
Fax: (734) 434-7005
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmic Plastic and Reconstructive Surgery | 207WX0200X | 4301075698 | Michigan |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 4301075698 | Michigan |
Profile Details
| NPI number | 1134182645 |
|---|---|
| LBN Legal business name | Fuller, Barry R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 7th, 2006 |
| Last updated | Jul 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1134182645 | NPPES |
| Michigan | MEDICAID | 4195910 |
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