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
Fax: (563) 584-3171
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053362194 NPPES
Iowa MEDICAID 0124487

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