Fuller, Jill C

Fuller, Jill C is an individual health care provider with primary practice located at 33431 13Th Pl S , Federal Way WA 98003-6357. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Fuller, Jill C can be contacted via phone (253) 874-7634.

Contact Information

Primary practice address
33431 13Th Pl S Federal Way WA 98003-6357
Phone: (253) 874-7634
Fax: (253) 874-7635
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OP00001912 Washington

Profile Details

NPI number 1871576744
LBN Legal business name Fuller, Jill C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2005
Last updated Dec 4th, 2020 - 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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