Fuller, Julie A

Fuller, Julie A is an individual health care provider with primary practice located at 1457 N M 52 Ste 2 , Owosso MI 48867-1519. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Fuller, Julie A can be contacted via phone (989) 729-4292.

Contact Information

Primary practice address
1457 N M 52 Ste 2 Owosso MI 48867-1519
Phone: (989) 729-4292
Fax: (989) 725-9012
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 4704259711 Michigan

Profile Details

NPI number 1306462908
LBN Legal business name Fuller, Julie A
Credentials RN, MSN, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2020
Last updated May 31st, 2023 - about 2 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 1306462908 NPPES
Michigan MEDICAID 1306462908

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