Fuller, William
Fuller, William is an individual health care provider with primary practice located at 242 N Magdalen St , San Angelo TX 76903-5434. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fuller, William can be contacted via phone (325) 944-2561.Contact Information
Primary practice address
242 N Magdalen St
San Angelo TX 76903-5434
Phone: (325) 944-2561
Fax: (325) 653-4218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 04604 | Texas |
Profile Details
| NPI number | 1710146931 |
|---|---|
| LBN Legal business name | Fuller, William |
| Credentials | LMSW, ACP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2008 |
| Last updated | Jun 3rd, 2008 - about 16 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 | 1710146931 | NPPES |
| Texas | MEDICAID | 0406829-02 |
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