Fuller, Carl Lamar

Fuller, Carl Lamar is an individual health care provider with primary practice located at 516 E Nizhoni Blvd , Gallup NM 87301-5748. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Nursing Service Providers / Pediatrics. Nursing Service Providers / Registered Nurse is his primary health care specialty. Fuller, Carl Lamar can be contacted via phone (505) 722-1000.

Contact Information

Primary practice address
516 E Nizhoni Blvd Gallup NM 87301-5748
Phone: (505) 722-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN167051 Arizona
Nursing Service Providers / Pediatrics 163WP0200X 817553 California

Profile Details

NPI number 1710279104
LBN Legal business name Fuller, Carl Lamar
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2011
Last updated Jun 5th, 2013 - about 12 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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