Fuller, Edwin B

Fuller, Edwin B is an sole proprietor health care provider with primary practice located at 655 Euclid Ave Suite 301, National City CA 91950-2957. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Fuller, Edwin B can be contacted via phone (619) 267-3020.

Contact Information

Primary practice address
655 Euclid Ave Suite 301 National City CA 91950-2957
Phone: (619) 267-3020
Fax: (619) 267-4042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X C26937 California

Profile Details

NPI number 1306846498
LBN Legal business name Fuller, Edwin B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 29th, 2005
Last updated Aug 25th, 2011 - about 13 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 1306846498 NPPES
California Other C26937 STATE LICENSE
California MEDICAID 00C269370 STATE LICENSE

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