Fullwood, John Anthony

Fullwood, John Anthony is an individual health care provider with primary practice located at 344 E 100 S , South Salt Lake UT 84115. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Fullwood, John Anthony can be contacted via phone (801) 322-3222.

Contact Information

Primary practice address
344 E 100 S South Salt Lake UT 84115
Phone: (801) 322-3222
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1851927602
LBN Legal business name Fullwood, John Anthony
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2020
Last updated Mar 12th, 2020 - about 5 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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