Fullmer, Michele
Fullmer, Michele is an individual health care provider with primary practice located at 16300 Sand Canyon Ave Suite 612, Irvine CA 92618-3711. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Fullmer, Michele can be contacted via phone (949) 753-1001.Contact Information
Primary practice address
16300 Sand Canyon Ave Suite 612
Irvine CA 92618-3711
Phone: (949) 753-1001
Fax: (949) 753-1115
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | G47690 | California |
Profile Details
| NPI number | 1245219575 |
|---|---|
| LBN Legal business name | Fullmer, Michele |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 13th, 2006 |
| Last updated | Dec 17th, 2008 - about 16 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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