Fuller, James H
Fuller, James H is an individual health care provider with primary practice located at 15761 New Hampshire Ct , Fort Myers FL 33908-4176. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Fuller, James H can be contacted via phone (239) 415-8377.Contact Information
Primary practice address
15761 New Hampshire Ct
Fort Myers FL 33908-4176
Phone: (239) 415-8377
Fax: (239) 415-8770
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ME12279 | Florida |
Profile Details
| NPI number | 1720053101 |
|---|---|
| LBN Legal business name | Fuller, James H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Sep 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720053101 | NPPES |
| Florida | MEDICAID | 051414400 | |
| Florida | Other | 4237105 | |
| Florida | Other | P107611 | |
| Florida | Other | P952479 | |
| Florida | Other | 102044 | |
| Florida | Other | 16628 | |
| Florida | Other | 2524858 | |
| Florida | Other | P01283315 |
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