Fuller, Brian J.

Fuller, Brian J. is an sole proprietor health care provider with primary practice located at 2373 Central Park Blvd Suite 303, Denver CO 80238-2300. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Fuller, Brian J. can be contacted via phone (720) 220-7857.

Contact Information

Primary practice address
2373 Central Park Blvd Suite 303 Denver CO 80238-2300
Phone: (720) 220-7857
Fax: (303) 287-7357
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 46857 Colorado
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X 46857 Colorado

Profile Details

NPI number 1538235502
LBN Legal business name Fuller, Brian J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 28th, 2006
Last updated Aug 12th, 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 1538235502 NPPES
Colorado MEDICAID 03433544

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