Fuller, Benjamin

Fuller, Benjamin is an individual health care provider with primary practice located at 701 E Foothill Blvd , Azusa CA 91702-2606. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Fuller, Benjamin can be contacted via phone (626) 815-6000.

Contact Information

Primary practice address
701 E Foothill Blvd Azusa CA 91702-2606
Phone: (626) 815-6000
Fax: (626) 815-5442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1407400799
LBN Legal business name Fuller, Benjamin
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2019
Last updated Jul 25th, 2019 - 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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