Fuller, Christopher G.

Fuller, Christopher G. is an individual health care provider with primary practice located at 4517 98Th St , Lubbock TX 79424-5013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fuller, Christopher G. can be contacted via phone (806) 792-0086.

Contact Information

Primary practice address
4517 98Th St Lubbock TX 79424-5013
Phone: (806) 792-0086
Fax: (806) 792-2446
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MD2009-0622 New Mexico
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X M6622 Texas

Profile Details

NPI number 1790830032
LBN Legal business name Fuller, Christopher G.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Mar 17th, 2018 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1790830032 NPPES
New Mexico MEDICAID 08484066
New Mexico MEDICAID 186504007
New Mexico MEDICAID 186504009
New Mexico MEDICAID 186504008

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