Fuller, Carla Judith
Fuller, Carla Judith is an sole proprietor health care provider with primary practice located at 88 E Main St , Hornell NY 14843-2074. She recently has only one registered license in Nursing & Custodial Care Facilities / Nursing Care, Pediatric, which is considered as her primary health care specialty. Fuller, Carla Judith can be contacted via phone (585) 201-6166.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing & Custodial Care Facilities / Nursing Care, Pediatric | 3140N1450X | 217696-1 | New York |
Profile Details
| NPI number | 1376724211 |
|---|---|
| LBN Legal business name | Fuller, Carla Judith |
| Credentials | Licensed Practical Nurse (LPN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 20th, 2007 |
| Last updated | Nov 20th, 2007 - about 18 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 | 1376724211 | NPPES |
| New York | MEDICAID | 02713931 |
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