Fuller, James H

Fuller, James H is an individual health care provider with primary practice located at 15761 New Hampshire Ct , Fort Myers FL 33908-4176. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Fuller, James H can be contacted via phone (239) 415-8377.

Contact Information

Primary practice address
15761 New Hampshire Ct Fort Myers FL 33908-4176
Phone: (239) 415-8377
Fax: (239) 415-8770
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME12279 Florida

Profile Details

NPI number 1720053101
LBN Legal business name Fuller, James H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Sep 10th, 2014 - about 10 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 1720053101 NPPES
Florida MEDICAID 051414400
Florida Other 4237105
Florida Other P107611
Florida Other P952479
Florida Other 102044
Florida Other 16628
Florida Other 2524858
Florida Other P01283315

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