Fuller, Gary M
Fuller, Gary M is an sole proprietor health care provider with primary practice located at 351 Hearst Ave , San Francisco CA 94112-1348. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical, which is considered as his primary health care specialty. Fuller, Gary M can be contacted via phone (415) 272-2203.Contact Information
Primary practice address
351 Hearst Ave
San Francisco CA 94112-1348
Phone: (415) 272-2203
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical | 364SM0705X | 327890 | California |
Profile Details
| NPI number | 1073669495 |
|---|---|
| LBN Legal business name | Fuller, Gary M |
| Credentials | RNFA |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2007 |
| Last updated | Feb 8th, 2017 - about 9 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 | 1073669495 | NPPES |
| California | Other | 327890 | STATE LICENSE |
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