Fuller, Patrick J

Fuller, Patrick J is an sole proprietor health care provider with primary practice located at 2524 E Webster Pl St #301, Milwaukee WI 53211-4256. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Fuller, Patrick J can be contacted via phone (414) 272-7009.

Contact Information

Primary practice address
2524 E Webster Pl St #301 Milwaukee WI 53211-4256
Phone: (414) 272-7009
Fax: (414) 272-6261
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 36676 Wisconsin

Profile Details

NPI number 1427002716
LBN Legal business name Fuller, Patrick J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 20th, 2006
Last updated Jan 18th, 2011 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427002716 NPPES
Wisconsin MEDICAID 32183000

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