Fullagar, Christopher J

Fullagar, Christopher J is an individual health care provider with primary practice located at 750 E Adams St , Syracuse NY 13210-2306. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Fullagar, Christopher J can be contacted via phone (315) 464-4363.

Contact Information

Primary practice address
750 E Adams St Syracuse NY 13210-2306
Fax: (315) 464-8690
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 228328 New York

Profile Details

NPI number 1518924869
LBN Legal business name Fullagar, Christopher J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Apr 8th, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518924869 NPPES
New York MEDICAID 02570487
New York Other P00141078

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