Fuller, Paige Mary
Fuller, Paige Mary is an individual health care provider with primary practice located at 224 Rimmey Rd , Centre Hall PA 16828-9217. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Fuller, Paige Mary can be contacted via phone (814) 360-2397.Contact Information
Primary practice address
224 Rimmey Rd
Centre Hall PA 16828-9217
Phone: (814) 360-2397
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X |
Profile Details
| NPI number | 1255850095 |
|---|---|
| LBN Legal business name | Fuller, Paige Mary |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2017 |
| Last updated | Sep 13th, 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 | 1255850095 | NPPES |
| Pennsylvania | MEDICAID | N |
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