Fuller, Tasha Marie

Fuller, Tasha Marie is an sole proprietor health care provider with primary practice located at 47 Virginia St , Waterloo NY 13165-1444. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Fuller, Tasha Marie can be contacted via phone (315) 664-2216.

Contact Information

Primary practice address
47 Virginia St Waterloo NY 13165-1444
Phone: (315) 664-2216
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 013201 New York

Profile Details

NPI number 1619448370
LBN Legal business name Fuller, Tasha Marie
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2018
Last updated Mar 18th, 2020 - about 6 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.

Request for update

Popular Providers