Fulleborn, Stephanie

Fulleborn, Stephanie is an individual health care provider with primary practice located at 307 Boatner Rd Ste 114 , Eglin Afb FL 32542-1302. She 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 / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Fulleborn, Stephanie can be contacted via phone (850) 883-8600.

Contact Information

Primary practice address
307 Boatner Rd Ste 114 Eglin Afb FL 32542-1302
Phone: (850) 883-8600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 30653 Nebraska

Profile Details

NPI number 1437508678
LBN Legal business name Fulleborn, Stephanie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2016
Last updated Aug 19th, 2025 - about last year

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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