Fuller, Scott Edward
Fuller, Scott Edward is an individual health care provider with primary practice located at 3 Baldwin Green Cmn Ste 207 , Woburn MA 01801-1869. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fuller, Scott Edward can be contacted via phone (781) 933-3332.Contact Information
Primary practice address
3 Baldwin Green Cmn Ste 207
Woburn MA 01801-1869
Phone: (781) 933-3332
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CH1564 | Massachusetts |
Profile Details
| NPI number | 1871566232 |
|---|---|
| LBN Legal business name | Fuller, Scott Edward |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Apr 17th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871566232 | NPPES |
| Massachusetts | Other | 1611577 | MASSHEALTH |
| Massachusetts | Other | 4494653 | MASSHEALTH |
| Massachusetts | Other | Y36107 | MASSHEALTH |
| Massachusetts | Other | 1001665 | MASSHEALTH |
| Massachusetts | Other | 0027013 | MASSHEALTH |
| Massachusetts | Other | 4494653 | MASSHEALTH |
| Massachusetts | Other | AA127819 | MASSHEALTH |
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