Fuller, Robin H
Fuller, Robin H is an individual health care provider with primary practice located at 37 W Garden St Suite 105, Auburn NY 13021-2662. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Fuller, Robin H can be contacted via phone (315) 252-0000.Contact Information
Primary practice address
37 W Garden St Suite 105
Auburn NY 13021-2662
Phone: (315) 252-0000
Fax: (315) 252-0070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 003118 | New York |
Profile Details
| NPI number | 1811038011 |
|---|---|
| LBN Legal business name | Fuller, Robin H |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 9th, 2007 |
| Last updated | Sep 16th, 2016 - about 9 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 | 1811038011 | NPPES |
| New York | MEDICAID | 02903446 |
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