Fuller, Edward Steven
Fuller, Edward Steven is an sole proprietor health care provider with primary practice located at 22101 Moross Road , Detroit MI 48236-2172. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Fuller, Edward Steven can be contacted via phone (313) 343-6866.Contact Information
Primary practice address
22101 Moross Road
Detroit MI 48236-2172
Phone: (313) 343-6866
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 5601002984 | Michigan |
Profile Details
| NPI number | 1932257672 |
|---|---|
| LBN Legal business name | Fuller, Edward Steven |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 8th, 2007 |
| Last updated | Jul 8th, 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.
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