Fullmer, Larry D
Fullmer, Larry D is an individual health care provider with primary practice located at 9720 S 1300 E #W200, Sandy UT 84094-3712. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fullmer, Larry D can be contacted via phone (801) 572-0690.Contact Information
Primary practice address
9720 S 1300 E #W200
Sandy UT 84094-3712
Phone: (801) 572-0690
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 114098-2401 | Utah |
Profile Details
| NPI number | 1821075912 |
|---|---|
| LBN Legal business name | Fullmer, Larry D |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Feb 14th, 2014 - about 10 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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