Fullerton, Heather J.

Fullerton, Heather J. is an individual health care provider with primary practice located at 505 Parnassus Ave , San Francisco CA 94143-2204. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Fullerton, Heather J. can be contacted via phone (415) 353-3681.

Contact Information

Primary practice address
505 Parnassus Ave San Francisco CA 94143-2204
Phone: (415) 353-3681
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X A67954 California

Profile Details

NPI number 1508916107
LBN Legal business name Fullerton, Heather J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Jul 9th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1508916107 NPPES
California MEDICAID 00A679540

Popular Providers