Fuller, Jacqueline
Fuller, Jacqueline is an individual health care provider with primary practice located at 23598 Civic Center Dr , Southfield MI 48033-7134. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Fuller, Jacqueline can be contacted via phone (248) 469-9821.Contact Information
Primary practice address
23598 Civic Center Dr
Southfield MI 48033-7134
Phone: (248) 469-9821
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 4703112821 | Michigan |
Profile Details
| NPI number | 1689049272 |
|---|---|
| LBN Legal business name | Fuller, Jacqueline |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2015 |
| Last updated | Dec 8th, 2015 - about 9 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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