Fuller, Brian Charles
Fuller, Brian Charles is an individual health care provider with primary practice located at 122 Langley Road North Suite B, Glen Burnie MD 21060. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Fuller, Brian Charles can be contacted via phone (410) 222-0100.Contact Information
Primary practice address
122 Langley Road North Suite B
Glen Burnie MD 21060
Phone: (410) 222-0100
Fax: (410) 222-0116
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | SC1198 | Maryland |
Profile Details
NPI number | 1801019575 |
---|---|
LBN Legal business name | Fuller, Brian Charles |
Credentials | MS CSGAD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 11th, 2007 |
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.
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