Fuller, Joseph Bernard
Fuller, Joseph Bernard is an individual health care provider with primary practice located at 1000 Langworthy St , Dubuque IA 52001-7313. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fuller, Joseph Bernard can be contacted via phone (563) 584-3450.Contact Information
Primary practice address
1000 Langworthy St
Dubuque IA 52001-7313
Phone: (563) 584-3450
Fax: (563) 584-3171
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 22011 | Iowa |
Profile Details
NPI number | 1053362194 |
---|---|
LBN Legal business name | Fuller, Joseph Bernard |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 13th, 2006 |
Last updated | Nov 25th, 2009 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053362194 | NPPES |
Iowa | MEDICAID | 0124487 |
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