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:
Health care specialties
| Specialty | Code | License # | 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 17 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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