Fuller, Eric Arthur

Fuller, Eric Arthur is an sole proprietor health care provider with primary practice located at 1178 San Pablo Ave Suite A, Berkeley CA 94706-2245. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Sports Medicine. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Fuller, Eric Arthur can be contacted via phone (510) 526-1335.

Contact Information

Primary practice address
1178 San Pablo Ave Suite A Berkeley CA 94706-2245
Phone: (510) 526-1335
Fax: (510) 526-4419
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E3543 California
Podiatric Medicine & Surgery Service Providers / Sports Medicine 213ES0000X E3543 California

Profile Details

NPI number 1346234457
LBN Legal business name Fuller, Eric Arthur
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2005
Last updated Dec 17th, 2009 - about 15 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 1346234457 NPPES
California Other BBB80382B EDI SUBMITTER NUMBER

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