Fullmer, Matthew David

Fullmer, Matthew David is an individual health care provider with primary practice located at 1226 Ne 7Th St , Grants Pass OR 97526-1424. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Fullmer, Matthew David can be contacted via phone (541) 476-6636.

Contact Information

Primary practice address
1226 Ne 7Th St Grants Pass OR 97526-1424
Phone: (541) 476-6636
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 5151010511 Michigan
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X DO209577 Oregon

Profile Details

NPI number 1841786829
LBN Legal business name Fullmer, Matthew David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2018
Last updated Jul 8th, 2022 - about 3 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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