Fullmer, Mark Allen
Fullmer, Mark Allen is an sole proprietor health care provider with primary practice located at 1055 N 300 W Suite 418, Provo UT 84604-3344. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fullmer, Mark Allen can be contacted via phone (801) 357-7100.Contact Information
Primary practice address
1055 N 300 W Suite 418
Provo UT 84604-3344
Phone: (801) 357-7100
Fax: (801) 357-8100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 152450-1205 | Utah |
Profile Details
| NPI number | 1457420853 |
|---|---|
| LBN Legal business name | Fullmer, Mark Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Mar 7th, 2023 - about 2 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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