Fuller, Jay M.
Fuller, Jay M. is an sole proprietor health care provider with primary practice located at 26 Centerpointe Dr Suite 115, La Palma CA 90623-1072. He recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as his primary health care specialty. Fuller, Jay M. can be contacted via phone (714) 522-8020.Contact Information
Primary practice address
26 Centerpointe Dr Suite 115
La Palma CA 90623-1072
Phone: (714) 522-8020
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 3551 | California |
Profile Details
| NPI number | 1912167040 |
|---|---|
| LBN Legal business name | Fuller, Jay M. |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 12th, 2008 |
| Last updated | Jun 12th, 2008 - about 16 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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