Fuller, John Thomas

Fuller, John Thomas is an individual health care provider with primary practice located at 12239 Cressida Loop , Daphne AL 36526-9001. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Fuller, John Thomas can be contacted via phone (205) 901-4498.

Contact Information

Primary practice address
12239 Cressida Loop Daphne AL 36526-9001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1518620186
LBN Legal business name Fuller, John Thomas
Credentials IDHS
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2021
Last updated Oct 20th, 2021 - about 3 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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