Fuller, Michael W
Fuller, Michael W is an individual health care provider with primary practice located at 48 East St , Fort Edward NY 12828-1811. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fuller, Michael W can be contacted via phone (518) 824-8630.Contact Information
Primary practice address
48 East St
Fort Edward NY 12828-1811
Phone: (518) 824-8630
Fax: (518) 824-2302
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 265403 | New York |
Profile Details
| NPI number | 1851530398 |
|---|---|
| LBN Legal business name | Fuller, Michael W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 6th, 2009 |
| Last updated | Feb 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851530398 | NPPES |
| New York | MEDICAID | 03459703 |
Popular Providers
-
Parker, William M
48 East St , Fort Edward NY 12828-1811 -
Wiest, Luther Roswell
11050 Mount Belvedere Blvd , Fort Drum NY 13602-5438 -
France, Kenneth S
48 East St , Fort Edward NY 12828-1811 -
Haney, Richard Zachary
11050 Mount Belvedere Blvd , Fort Drum NY 13602-5438 -
Todd, Phillip J
11050 Mount Belvedere Blvd , Fort Drum NY 13602-5438 -
Rajner, Colette
11050 Mount Belvedere Boulevard , Fort Drum NY 13602-5004 -
Sullivan, Dennis M
Ctmc Us Army Meddac, Fort Drum NY 13602 -
Castillo, Marlon Fidel
11050 Mount Belvedere Blvd Usa Meddac, Fort Drum NY 13602-5438