Fuller, Edwin R
Fuller, Edwin R is an individual health care provider with primary practice located at 7024 Burnett-Womack Building Cb#7155, Chapel Hill NC 27599-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Fuller, Edwin R can be contacted via phone (919) 966-2561.Contact Information
Primary practice address
7024 Burnett-Womack Building Cb#7155
Chapel Hill NC 27599-0001
Phone: (919) 966-2561
Fax: (919) 966-4251
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 0501405 | North Carolina |
Profile Details
| NPI number | 1922022110 |
|---|---|
| LBN Legal business name | Fuller, Edwin R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 27th, 2006 |
| Last updated | May 8th, 2021 - about 3 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 | 1922022110 | NPPES |
| North Carolina | MEDICAID | 5901671 |
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