Fuller, Julie Raye
Fuller, Julie Raye is an individual health care provider with primary practice located at 161 Railcar Rd , Corrales NM 87048-7909. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Fuller, Julie Raye can be contacted via phone (505) 553-6850.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | DH986 | New Mexico |
Profile Details
| NPI number | 1477703429 |
|---|---|
| LBN Legal business name | Fuller, Julie Raye |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2008 |
| Last updated | Sep 26th, 2008 - about 17 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 | 1477703429 | NPPES |
| New Mexico | MEDICAID | 56229364 |
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