Fuller, Alice C.

Fuller, Alice C. is an individual health care provider with primary practice located at 2904 Sudderth Dr Ste B , Ruidoso NM 88345-6338. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Fuller, Alice C. can be contacted via phone (575) 491-3300.

Contact Information

Primary practice address
2904 Sudderth Dr Ste B Ruidoso NM 88345-6338
Phone: (575) 491-3300
Fax: (505) 420-6034
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1861147753
LBN Legal business name Fuller, Alice C.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2022
Last updated Feb 18th, 2022 - about 3 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.

Request for update

Popular Providers