Fuller, Erinn C
Fuller, Erinn C is an individual health care provider with primary practice located at 621 Memorial Dr Ste 302 , South Bend IN 46601-1073. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Fuller, Erinn C can be contacted via phone (574) 367-3800.Contact Information
Primary practice address
621 Memorial Dr Ste 302
South Bend IN 46601-1073
Phone: (574) 367-3800
Fax: (574) 367-3801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10001520A | Indiana |
Profile Details
| NPI number | 1295058717 |
|---|---|
| LBN Legal business name | Fuller, Erinn C |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 11th, 2010 |
| Last updated | Jun 25th, 2024 - about 2 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 | 1295058717 | NPPES |
| Indiana | MEDICAID | 300005961 |
Popular Providers
-
Fraker, Jacob M.
53880 Carmichael Dr , South Bend IN 46635-1567 -
Raderstorf, Lisa D
5838 W Brick Rd Suite 106, South Bend IN 46628-8423 -
Hunt, Timothy Neal
53880 Carmichael Dr , South Bend IN 46635-1567 -
Hanff, Janet Elizabeth
610 N Michigan St Ste 306, South Bend IN 46601-1077 -
Senn, Susan
615 N Michigan St 1St Fl Hospitalist Ste , South Bend IN 46601-1033 -
Coots, Joel Wayne
2301 N Bendix Dr , South Bend IN 46628-3486 -
Ritchey, Christopher
53880 Carmichael Dr , South Bend IN 46635-1567 -
Wilson, Sheri A
1245 E Ireland Rd , South Bend IN 46614-3448