Fuller, Stanley R

Fuller, Stanley R is an individual health care provider with primary practice located at 116 Minnie St , Fairbanks AK 99701-3006. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Fuller, Stanley R can be contacted via phone (907) 456-7760.

Contact Information

Primary practice address
116 Minnie St Fairbanks AK 99701-3006
Phone: (907) 456-7760
Fax: (907) 328-1867
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 100664 Alaska

Profile Details

NPI number 1396034658
LBN Legal business name Fuller, Stanley R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2011
Last updated Nov 29th, 2016 - about 9 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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