Fuller, Rollin William

Fuller, Rollin William is an individual health care provider with primary practice located at 4300 Marketpointe Dr Ste 100 , Bloomington MN 55435. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Fuller, Rollin William can be contacted via phone (952) 835-9880.

Contact Information

Primary practice address
4300 Marketpointe Dr Ste 100 Bloomington MN 55435
Phone: (952) 835-9880
Fax: (952) 857-1554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 0099-00501 North Carolina
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 48275 Minnesota

Profile Details

NPI number 1871548073
LBN Legal business name Fuller, Rollin William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Dec 21st, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871548073 NPPES
North Carolina Other 1255E BCBSNC
North Carolina Other 930092980 BCBSNC
North Carolina MEDICAID 891255E BCBSNC

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