Fuller, Brian J

Fuller, Brian J is an individual health care provider with primary practice located at 7810 5 Mile Rd , Cincinnati OH 45230-2356. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Fuller, Brian J can be contacted via phone (513) 246-7000.

Contact Information

Primary practice address
7810 5 Mile Rd Cincinnati OH 45230-2356
Phone: (513) 246-7000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 35.124187 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.124187 Ohio

Profile Details

NPI number 1780973982
LBN Legal business name Fuller, Brian J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 29th, 2011
Last updated Mar 4th, 2021 - about 3 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 1780973982 NPPES
Ohio Other 12051983 OTHER
Ohio MEDICAID 0124895 OTHER

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