Fuller, Sam

Fuller, Sam is an individual health care provider with primary practice located at 53880 Carmichael Dr , South Bend IN 46635-1567. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, Allopathic & Osteopathic Physicians / Surgery of the Hand. Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery is his primary health care specialty. Fuller, Sam can be contacted via phone (574) 247-9441.

Contact Information

Primary practice address
53880 Carmichael Dr South Bend IN 46635-1567
Phone: (574) 247-9441
Fax: (574) 247-9442
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 01075560A Indiana
Allopathic & Osteopathic Physicians / Surgery of the Hand 2086S0105X 01075560A Indiana

Profile Details

NPI number 1649569484
LBN Legal business name Fuller, Sam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2011
Last updated Nov 15th, 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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