Fuller, Dorothy Jane
Fuller, Dorothy Jane is an individual health care provider with primary practice located at 559 E Alisal St Suite 201, Salinas CA 93905-2516. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Nursing Service Providers / Pediatrics is her primary health care specialty. Fuller, Dorothy Jane can be contacted via phone (831) 769-8800.Contact Information
Primary practice address
559 E Alisal St Suite 201
Salinas CA 93905-2516
Phone: (831) 769-8800
Fax: (831) 422-9312
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Pediatrics | 163WP0200X | 135163 | California |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 312 | California |
Profile Details
| NPI number | 1801809058 |
|---|---|
| LBN Legal business name | Fuller, Dorothy Jane |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801809058 | NPPES |
| California | Other | M0274138 | DRIVER LICENSE |
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