Fuller, Michael
Fuller, Michael is an sole proprietor health care provider with primary practice located at 777 Silver Oak Dr Apt D117 , Carson City NV 89706-1908. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Fuller, Michael can be contacted via phone (775) 443-0138.Contact Information
Primary practice address
777 Silver Oak Dr Apt D117
Carson City NV 89706-1908
Phone: (775) 443-0138
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1144638594 |
|---|---|
| LBN Legal business name | Fuller, Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 30th, 2014 |
| Last updated | Jul 30th, 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 | 1144638594 | NPPES |
| Nevada | MEDICAID | 101YM0800X |
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