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
Fax: (805) 543-7640
Website:

Health care specialties

SpecialtyCodeLicense #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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