Fuller, Brian Matthew

Fuller, Brian Matthew is an individual health care provider with primary practice located at 1 Barnes Jewish Hospital Plz Dept Anesthesiology, Saint Louis MO 63110-1003. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Fuller, Brian Matthew can be contacted via phone (800) 862-9980.

Contact Information

Primary practice address
1 Barnes Jewish Hospital Plz Dept Anesthesiology Saint Louis MO 63110-1003
Phone: (800) 862-9980
Fax: (314) 362-1185
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 2009013297 Missouri
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X 2009013297 Missouri

Profile Details

NPI number 1447461744
LBN Legal business name Fuller, Brian Matthew
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2007
Last updated Apr 25th, 2024 - about last year

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 1447461744 NPPES
Missouri MEDICAID 205517303

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