Fuller, William Allen

Fuller, William Allen is an individual health care provider with primary practice located at 2212 Wilborn Ave , South Boston VA 24592-1630. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fuller, William Allen can be contacted via phone (434) 572-8921.

Contact Information

Primary practice address
2212 Wilborn Ave South Boston VA 24592-1630
Phone: (434) 572-8921
Fax: (434) 572-2063
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 0101023878 Virginia

Profile Details

NPI number 1225006489
LBN Legal business name Fuller, William Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1225006489 NPPES
Virginia Other 003685 BCBS
Virginia Other 16829 BCBS

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