Fuller, Codi
Fuller, Codi is an individual health care provider with primary practice located at 30207 Rosenkrantz Rd , Lewiston ID 83501-5229. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Fuller, Codi can be contacted via phone (208) 691-8647.Contact Information
Primary practice address
30207 Rosenkrantz Rd
Lewiston ID 83501-5229
Phone: (208) 691-8647
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | CHIA-1649 | Idaho |
Profile Details
| NPI number | 1093102428 |
|---|---|
| LBN Legal business name | Fuller, Codi |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2015 |
| Last updated | Jul 31st, 2016 - about 10 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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