Fuller, Robert

Fuller, Robert is an sole proprietor health care provider with primary practice located at 239 W 9Th St , Upland CA 91786-5979. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Fuller, Robert can be contacted via phone (909) 981-6121.

Contact Information

Primary practice address
239 W 9Th St Upland CA 91786-5979
Phone: (909) 981-6121
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X AII053220318 California

Profile Details

NPI number 1609998459
LBN Legal business name Fuller, Robert
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2007
Last updated Oct 26th, 2023 - about last year

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.

Request for update

Popular Providers