Fuller, Ingrid
Fuller, Ingrid is an individual health care provider with primary practice located at 24 Julio Dr , Shrewsbury MA 01545-3053. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fuller, Ingrid can be contacted via phone (508) 845-1436.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 75203 | Massachusetts |
Profile Details
| NPI number | 1063495828 |
|---|---|
| LBN Legal business name | Fuller, Ingrid |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 25th, 2005 |
| Last updated | Oct 24th, 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 | 1063495828 | NPPES |
| Massachusetts | MEDICAID | 3106284 |
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