Fuller, Brian Jay
Fuller, Brian Jay is an sole proprietor health care provider with primary practice located at 1010 Lake St Ste 400 , Oak Park IL 60301-1135. He recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as his primary health care specialty. Fuller, Brian Jay can be contacted via phone (708) 705-9494.Contact Information
Primary practice address
1010 Lake St Ste 400
Oak Park IL 60301-1135
Phone: (708) 705-9494
Fax: (708) 221-7108
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Nutrition | 111NN1001X | 038010329 | Illinois |
Profile Details
| NPI number | 1073556544 |
|---|---|
| LBN Legal business name | Fuller, Brian Jay |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Dec 11th, 2020 - about 6 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.
Popular Providers
-
Brannick, Michelle Anne
1013 E 31St St , Lagrange Park IL 60526-1218 -
Booth, Michael A
5529 Fm 359 Rd Ste A, Richmond TX 77469-9659 -
Foster, Angela
4681 Highway 54 Ste 6, Osage Beach MO 65065-2392 -
Polsemen, Mary Kay
3150 Crow Canyon Pl Ste 120, San Ramon CA 94583-1778 -
Heiligenthal, John
910 Mount Homer Rd , Eustis FL 32726-6258 -
Westbrook, Ron W
1700 W Business 380 , Decatur TX 76234-3232 -
Troumbly, Shalymar C
2711 Commerce Dr Nw Ste 300 , Rochester MN 55901-3240 -
Mcmanus, Foster Campbell
1670 Sierra Ave Suite 302, Yuba City CA 95993