Fullerton, Timothy

Fullerton, Timothy is an individual health care provider with primary practice located at 737 Greenville Rd , Mercer PA 16137-5070. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fullerton, Timothy can be contacted via phone (724) 662-2650.

Contact Information

Primary practice address
737 Greenville Rd Mercer PA 16137-5070
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS016025 Pennsylvania

Profile Details

NPI number 1295964195
LBN Legal business name Fullerton, Timothy
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2009
Last updated Mar 25th, 2021 - about 3 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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