Fuller, Pamela Mary
Fuller, Pamela Mary is an sole proprietor health care provider with primary practice located at 1620 44Th St Se , Grand Rapids MI 49508-5002. She recently has only one registered license in Nursing Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Fuller, Pamela Mary can be contacted via phone (616) 243-6262.Contact Information
Primary practice address
1620 44Th St Se
Grand Rapids MI 49508-5002
Phone: (616) 243-6262
Fax: (616) 243-6969
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Addiction (Substance Use Disorder) | 163WA0400X | 4704188418 | Michigan |
Profile Details
| NPI number | 1851946958 |
|---|---|
| LBN Legal business name | Fuller, Pamela Mary |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2019 |
| Last updated | Aug 6th, 2019 - about 6 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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