Fuller Terry, A Nedra Yulonda
Fuller Terry, A Nedra Yulonda is an sole proprietor health care provider with primary practice located at 2828 First Avenue Suite 203, Huntington WV 25702-1236. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Fuller Terry, A Nedra Yulonda can be contacted via phone (304) 522-3692.Contact Information
Primary practice address
2828 First Avenue Suite 203
Huntington WV 25702-1236
Phone: (304) 522-3692
Fax: (304) 522-3693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 10387 | West Virginia |
Profile Details
| NPI number | 1902976863 |
|---|---|
| LBN Legal business name | Fuller Terry, A Nedra Yulonda |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Nov 19th, 2009 - about 15 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 | 1902976863 | NPPES |
| West Virginia | Other | P00357027 | RR MEDICARE |
| West Virginia | MEDICAID | 3810007238 | RR MEDICARE |
| West Virginia | MEDICAID | 2707084 | RR MEDICARE |
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