Fuller, Bryan H.
Fuller, Bryan H. is an individual health care provider with primary practice located at 1005 E Ring Rd , Ironton OH 45638-9610. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Fuller, Bryan H. can be contacted via phone (740) 534-9830.Contact Information
Primary practice address
1005 E Ring Rd
Ironton OH 45638-9610
Phone: (740) 534-9830
Fax: (740) 534-9832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35078023 | Ohio |
Profile Details
| NPI number | 1104898592 |
|---|---|
| LBN Legal business name | Fuller, Bryan H. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Dec 21st, 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 | 1104898592 | NPPES |
| Ohio | MEDICAID | 2191453 | |
| Ohio | Other | 000000634705 | |
| Ohio | Other | 000000653707 | |
| Ohio | Other | 000000380360 | |
| Ohio | Other | 000000594108 | |
| Ohio | MEDICAID | 64022601 |
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