Fuller, Frederick P
Fuller, Frederick P is an individual health care provider with primary practice located at 50 N Medical Dr , Salt Lake City UT 84132-3004. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Fuller, Frederick P can be contacted via phone (801) 581-2292.Contact Information
Primary practice address
50 N Medical Dr
Salt Lake City UT 84132-3004
Phone: (801) 581-2292
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 9860440-1206 | Utah |
Profile Details
| NPI number | 1154364099 |
|---|---|
| LBN Legal business name | Fuller, Frederick P |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Dec 10th, 2021 - about 5 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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