Fuller, Robert R

Fuller, Robert R is an individual health care provider with primary practice located at 1204 W Main St , Charlottesville VA 22908-1923. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Fuller, Robert R can be contacted via phone (434) 924-2500.

Contact Information

Primary practice address
1204 W Main St Charlottesville VA 22908-1923
Fax: (434) 244-9487
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 0101242146 Virginia

Profile Details

NPI number 1386651628
LBN Legal business name Fuller, Robert R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Aug 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386651628 NPPES
Virginia Other C06778 GROU PTAN
Virginia Other 02532236 GROU PTAN
Virginia MEDICAID 1010433 GROU PTAN

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