Fuller, Chad
Fuller, Chad is an sole proprietor health care provider with primary practice located at 1250 Peach St Ste A , San Luis Obispo CA 93401-2871. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fuller, Chad can be contacted via phone (805) 543-4043.Contact Information
Primary practice address
1250 Peach St Ste A
San Luis Obispo CA 93401-2871
Phone: (805) 543-4043
Fax: (805) 543-7640
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | A174124 | California |
Profile Details
| NPI number | 1679062632 |
|---|---|
| LBN Legal business name | Fuller, Chad |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2018 |
| Last updated | Nov 2nd, 2023 - 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.
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