Fuller,Micou, Diana

Fuller,Micou, Diana is an sole proprietor health care provider with primary practice located at 825 James H Meredith St , Kosciusko MS 39090-3161. She recently has only one registered license in Agencies / Voluntary or Charitable, which is considered as her primary health care specialty. Fuller,Micou, Diana can be contacted via phone (662) 289-3699.

Contact Information

Primary practice address
825 James H Meredith St Kosciusko MS 39090-3161
Phone: (662) 289-3699
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Voluntary or Charitable 251V00000X

Profile Details

NPI number 1205348554
LBN Legal business name Fuller,Micou, Diana
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2017
Last updated Oct 26th, 2017 - about 7 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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