Fuller, Justin
Fuller, Justin is an individual health care provider with primary practice located at 70 Plaza Dr , Pell City AL 35125-9314. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Fuller, Justin can be contacted via phone (205) 814-9284.Contact Information
Primary practice address
70 Plaza Dr
Pell City AL 35125-9314
Phone: (205) 814-9284
Fax: (205) 814-9626
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1-131835 | Alabama |
Profile Details
| NPI number | 1013565613 |
|---|---|
| LBN Legal business name | Fuller, Justin |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2019 |
| Last updated | Aug 28th, 2019 - about 5 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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