Fuller, Carol J
Fuller, Carol J is an sole proprietor health care provider with primary practice located at 5542 Fletching Cir , Fairfield Township OH 45011-2170. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Fuller, Carol J can be contacted via phone (513) 520-6207.Contact Information
Primary practice address
5542 Fletching Cir
Fairfield Township OH 45011-2170
Phone: (513) 520-6207
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Home Health Aide | 374U00000X |
Profile Details
| NPI number | 1538761762 |
|---|---|
| LBN Legal business name | Fuller, Carol J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 12th, 2020 |
| Last updated | Nov 12th, 2020 - about 4 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 | 1538761762 | NPPES |
| Ohio | MEDICAID | 0247415 |
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