Fuller, Melissa Sue
Fuller, Melissa Sue is an sole proprietor health care provider with primary practice located at 133 Margaret St , Plattsburgh NY 12901-2926. She recently has only one registered license in Ambulatory Health Care Facilities / Public Health, State or Local, which is considered as her primary health care specialty. Fuller, Melissa Sue can be contacted via phone (518) 565-4868.Contact Information
Primary practice address
133 Margaret St
Plattsburgh NY 12901-2926
Phone: (518) 565-4868
Fax: (518) 565-4509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Public Health, State or Local | 261QP0905X | 1740207299 | New York |
Profile Details
| NPI number | 1477078459 |
|---|---|
| LBN Legal business name | Fuller, Melissa Sue |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 10th, 2017 |
| Last updated | Jun 11th, 2019 - about 7 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 | 1477078459 | NPPES |
| New York | MEDICAID | 00583757 |
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