Fuller, Sidney J.

Fuller, Sidney J. is an individual health care provider with primary practice located at 6200 N. La Cholla Blvd. Northwest Medical Center, Tucson AZ 85741. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Technologists, Technicians & Other Technical Service Providers / Perfusionist. Technologists, Technicians & Other Technical Service Providers / Perfusionist is his primary health care specialty. Fuller, Sidney J. can be contacted via phone (520) 742-9000.

Contact Information

Primary practice address
6200 N. La Cholla Blvd. Northwest Medical Center Tucson AZ 85741
Phone: (520) 742-9000
Fax: (520) 469-8591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X
Technologists, Technicians & Other Technical Service Providers / Perfusionist 242T00000X

Profile Details

NPI number 1386786853
LBN Legal business name Fuller, Sidney J.
Credentials Certified Clinical Perfusionist (CCP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Dec 16th, 2010 - about 16 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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