Fuller, Mark G
Fuller, Mark G is an individual health care provider with primary practice located at 1307 Federal St Ste 301 , Pittsburgh PA 15212-4769. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Fuller, Mark G can be contacted via phone (412) 359-3751.Contact Information
Primary practice address
1307 Federal St Ste 301
Pittsburgh PA 15212-4769
Phone: (412) 359-3751
Fax: (412) 442-2335
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD043300L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | MD043300L | Pennsylvania |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD043300L | Pennsylvania |
Profile Details
| NPI number | 1659378511 |
|---|---|
| LBN Legal business name | Fuller, Mark G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 6th, 2005 |
| Last updated | Sep 30th, 2020 - about 6 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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