Fullin, Daniel Creighton
Fullin, Daniel Creighton is an individual health care provider with primary practice located at 9555 76Th St , Pleasant Prairie WI 53158-1984. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Fullin, Daniel Creighton can be contacted via phone (262) 577-8000.Contact Information
Primary practice address
9555 76Th St
Pleasant Prairie WI 53158-1984
Phone: (262) 577-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 77026-20 | Wisconsin |
Profile Details
| NPI number | 1487040366 |
|---|---|
| LBN Legal business name | Fullin, Daniel Creighton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2015 |
| Last updated | Apr 23rd, 2024 - about 5 months 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 | 1487040366 | NPPES |
| Wisconsin | MEDICAID | 100209976 |
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