Fuller, Scott R
Fuller, Scott R is an individual health care provider with primary practice located at 875 8Th St Ne , Massillon OH 44646-8503. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Fuller, Scott R can be contacted via phone (330) 837-6868.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 34008827 | Ohio |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 34.008827 | Ohio |
Profile Details
| NPI number | 1053348250 |
|---|---|
| LBN Legal business name | Fuller, Scott R |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2006 |
| Last updated | Apr 11th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053348250 | NPPES |
| Ohio | MEDICAID | 2681156 |
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