Fuller, Lori Ann
Fuller, Lori Ann is an sole proprietor health care provider with primary practice located at 4088 W Hawthorne Trace Rd Apt 209 , Brown Deer WI 53209-1017. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Fuller, Lori Ann can be contacted via phone (414) 759-8582.Contact Information
Primary practice address
4088 W Hawthorne Trace Rd Apt 209
Brown Deer WI 53209-1017
Phone: (414) 759-8582
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Home Health | 163WH0200X | 110555-30 | Wisconsin |
Profile Details
| NPI number | 1598946642 |
|---|---|
| LBN Legal business name | Fuller, Lori Ann |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2007 |
| Last updated | Aug 11th, 2011 - about 13 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 | 1598946642 | NPPES |
| Wisconsin | MEDICAID | 39872800 |
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