Fuller, Heidi
Fuller, Heidi is an sole proprietor health care provider with primary practice located at 12121 Shelbyville Rd Ste 101 , Louisville KY 40243-1094. She recently has only one registered license in Managed Care Organizations / Point of Service, which is considered as her primary health care specialty. Fuller, Heidi can be contacted via phone (502) 341-1599.Contact Information
Primary practice address
12121 Shelbyville Rd Ste 101
Louisville KY 40243-1094
Phone: (502) 341-1599
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Point of Service | 305S00000X |
Profile Details
| NPI number | 1730713173 |
|---|---|
| LBN Legal business name | Fuller, Heidi |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 25th, 2020 |
| Last updated | Feb 25th, 2020 - about 5 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 | 1730713173 | NPPES |
| Other | 965136 | MEDICAL SERVICES | |
| Other | 000965136 | MEDICAL SERVICES |
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