Fulling, John Allan Clayton

Fulling, John Allan Clayton is an sole proprietor health care provider with primary practice located at 2410 Sampson St Fisher Bmc #237, Great Lakes IL 60088. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Fulling, John Allan Clayton can be contacted via phone (847) 688-5556.

Contact Information

Primary practice address
2410 Sampson St Fisher Bmc #237 Great Lakes IL 60088
Phone: (847) 688-5556
Fax: (847) 688-2512
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1083873905
LBN Legal business name Fulling, John Allan Clayton
Credentials IDC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 5th, 2008
Last updated Jun 5th, 2008 - about 16 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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