Fuller, Norman Eugene
Fuller, Norman Eugene is an individual health care provider with primary practice located at 833 W Commercial Dr , Wasilla AK 99654-6937. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fuller, Norman Eugene can be contacted via phone (907) 376-2475.Contact Information
Primary practice address
833 W Commercial Dr
Wasilla AK 99654-6937
Phone: (907) 376-2475
Fax: (907) 373-5154
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 251 | Alaska |
Profile Details
| NPI number | 1457440984 |
|---|---|
| LBN Legal business name | Fuller, Norman Eugene |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Oct 24th, 2007 - about 19 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 | 1457440984 | NPPES |
| Alaska | MEDICAID | CH0251 |
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