Fuller, Ivory

Fuller, Ivory is an sole proprietor health care provider with primary practice located at 29100 Lorikay St , Farmington Hills MI 48334-2842. He recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, Speech, Language and Hearing Service Providers / Hearing Instrument Specialist. Speech, Language and Hearing Service Providers / Hearing Instrument Specialist is his primary health care specialty. Fuller, Ivory can be contacted via phone (313) 772-0027.

Contact Information

Primary practice address
29100 Lorikay St Farmington Hills MI 48334-2842
Phone: (313) 772-0027
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 3501002891 Michigan
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 3501002891
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 3501002891 Michigan

Profile Details

NPI number 1326465048
LBN Legal business name Fuller, Ivory
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 19th, 2014
Last updated Mar 19th, 2014 - about 12 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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