Fuller, Colin M

Fuller, Colin M is an individual health care provider with primary practice located at 2385 E Prater Way Suite 302, Sparks NV 89434-9629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Fuller, Colin M can be contacted via phone (775) 356-4514.

Contact Information

Primary practice address
2385 E Prater Way Suite 302 Sparks NV 89434-9629
Phone: (775) 356-4514
Fax: (775) 356-4991
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 3987 Nevada
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X G26986 California

Profile Details

NPI number 1578555165
LBN Legal business name Fuller, Colin M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated May 8th, 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 1578555165 NPPES
Other 11040349 CAQH
Other 1578555165 CAQH
Other G26986 CAQH
Other 3987 CAQH

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