Fullmer, Elise

Fullmer, Elise is an sole proprietor health care provider with primary practice located at 12330 James St Ste H10 , Holland MI 49424-9575. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Fullmer, Elise can be contacted via phone (616) 582-3142.

Contact Information

Primary practice address
12330 James St Ste H10 Holland MI 49424-9575
Phone: (616) 582-3142
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X 5502005639 Michigan

Profile Details

NPI number 1215606645
LBN Legal business name Fullmer, Elise
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2021
Last updated Sep 9th, 2021 - about 4 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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