Fuller, Leta R
Fuller, Leta R is an individual health care provider with primary practice located at 4401 Harrison Blvd , Ogden UT 84403-3195. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Fuller, Leta R can be contacted via phone (801) 387-4300.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 6000865-1205 | Utah |
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 35073246 | Ohio |
Profile Details
| NPI number | 1982696159 |
|---|---|
| LBN Legal business name | Fuller, Leta R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2005 |
| Last updated | May 19th, 2024 - about 7 months 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 | 1982696159 | NPPES |
| Ohio | MEDICAID | 2140178 | |
| Ohio | MEDICAID | 64060502 |
Popular Providers
-
Gowda, Chandrakala B
5475 S 500 E , Ogden UT 84405-6905 -
Dilallo, Denis
703 Main St , Paterson NJ 07503-2621 -
Sheffield, Mark J
4401 Harrison Blvd , Ogden UT 84403-3195 -
Simmons, Andrew David
5475 South 500 East , Ogden UT 84405 -
Reese, Shawn Cory
4401 Harrison Blvd , Ogden UT 84403-3195 -
Skroce, Linda C
703 Main St , Paterson NJ 07503-2621 -
Hart, Brandon Jay
4401 Harrison Blvd Department Of Neonatology, Ogden UT 84403-3195 -
Haider, Agha Zia
2201 Clear Creek Rd , Killeen TX 76549-4110