Fuller, Jennifer Carroll

Fuller, Jennifer Carroll is an individual health care provider with primary practice located at 11234 Anderson St # 2586A , Loma Linda CA 92354-2804. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery is her primary health care specialty. Fuller, Jennifer Carroll can be contacted via phone (909) 558-7884.

Contact Information

Primary practice address
11234 Anderson St # 2586A Loma Linda CA 92354-2804
Phone: (909) 558-7884
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 63479 Minnesota
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X A160366 California

Profile Details

NPI number 1902149933
LBN Legal business name Fuller, Jennifer Carroll
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2013
Last updated Jul 10th, 2019 - 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.

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