Fuller, Bertram
Fuller, Bertram is an individual health care provider with primary practice located at 7033 Stewart And Gray Rd Unit 38 , Downey CA 90241-4355. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Fuller, Bertram can be contacted via phone (562) 927-0677.Contact Information
Primary practice address
7033 Stewart And Gray Rd Unit 38
Downey CA 90241-4355
Phone: (562) 927-0677
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA 14719 | California |
Profile Details
| NPI number | 1073793691 |
|---|---|
| LBN Legal business name | Fuller, Bertram |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 12th, 2007 |
| Last updated | Nov 12th, 2007 - about 19 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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