Fuller, Gary M

Fuller, Gary M is an sole proprietor health care provider with primary practice located at 351 Hearst Ave , San Francisco CA 94112-1348. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, which is considered as his primary health care specialty. Fuller, Gary M can be contacted via phone (415) 272-2203.

Contact Information

Primary practice address
351 Hearst Ave San Francisco CA 94112-1348
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X 327890 California

Profile Details

NPI number 1073669495
LBN Legal business name Fuller, Gary M
Credentials RNFA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 26th, 2007
Last updated Feb 8th, 2017 - about 8 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 1073669495 NPPES
California Other 327890 STATE LICENSE

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