Fullmer, Teri
Fullmer, Teri is an individual health care provider with primary practice located at 7447 W Emerald St Ste 105 , Boise ID 83704-5003. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Fullmer, Teri can be contacted via phone (208) 322-1642.Contact Information
Primary practice address
7447 W Emerald St Ste 105
Boise ID 83704-5003
Phone: (208) 322-1642
Fax: (208) 378-4179
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X |
Profile Details
| NPI number | 1003393653 |
|---|---|
| LBN Legal business name | Fullmer, Teri |
| Credentials | ABO |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2018 |
| Last updated | Jul 26th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003393653 | NPPES |
| Other | 065186 | ABO |
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