Fuller, Scott

Fuller, Scott is an sole proprietor health care provider with primary practice located at 9616 Portage Rd , Portage MI 49002-7257. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavioral Analyst, which is considered as his primary health care specialty. Fuller, Scott can be contacted via phone (269) 250-8200.

Contact Information

Primary practice address
9616 Portage Rd Portage MI 49002-7257
Phone: (269) 250-8200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X

Profile Details

NPI number 1144578055
LBN Legal business name Fuller, Scott
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 27th, 2012
Last updated Aug 27th, 2012 - about 12 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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