Fuller, William C
Fuller, William C is an individual health care provider with primary practice located at 4400 W 69Th St Ste 1500, Sioux Falls SD 57108-8170. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Fuller, William C can be contacted via phone (605) 322-5700.Contact Information
Primary practice address
4400 W 69Th St Ste 1500
Sioux Falls SD 57108-8170
Phone: (605) 322-5700
Fax: (605) 322-5704
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 2080 | South Dakota |
Profile Details
| NPI number | 1518939024 |
|---|---|
| LBN Legal business name | Fuller, William C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2006 |
| Last updated | Dec 11th, 2013 - about 12 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 | 1518939024 | NPPES |
| Minnesota | Other | 140M0FU | CC SYSTEMS/ BLUE PLUS |
| Minnesota | Other | 2080 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | Other | 25065 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | MEDICAID | 46022474352 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | MEDICAID | 7100103 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | Other | 14649 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | MEDICAID | 1958108 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | Other | 0040695 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | MEDICAID | 12200 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | MEDICAID | 394885400 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | Other | 57108C008 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | Other | 114837 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | Other | 260051611 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | Other | HP24848 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | Other | 412991010162 | CC SYSTEMS/ BLUE PLUS |
| Minnesota | Other | 23086 | CC SYSTEMS/ BLUE PLUS |
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