Fuller, Stanley R
Fuller, Stanley R is an individual health care provider with primary practice located at 116 Minnie St , Fairbanks AK 99701-3006. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Fuller, Stanley R can be contacted via phone (907) 456-7760.Contact Information
Primary practice address
116 Minnie St
Fairbanks AK 99701-3006
Phone: (907) 456-7760
Fax: (907) 328-1867
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 100664 | Alaska |
Profile Details
| NPI number | 1396034658 |
|---|---|
| LBN Legal business name | Fuller, Stanley R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2011 |
| Last updated | Nov 29th, 2016 - about 10 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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