Fuller, Maranda Vandyke
Fuller, Maranda Vandyke is an individual health care provider with primary practice located at 628 Lake St Ne , Wise VA 24293-7919. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Fuller, Maranda Vandyke can be contacted via phone (276) 328-8017.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / School | 103TS0200X | 0813000748 | Virginia |
Profile Details
| NPI number | 1487179438 |
|---|---|
| LBN Legal business name | Fuller, Maranda Vandyke |
| Credentials | ED.S. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2017 |
| Last updated | Aug 11th, 2017 - about 8 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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