Fuller, Teresa

Fuller, Teresa is an individual health care provider with primary practice located at 10084 Reisterstown Rd Ste 200B , Owings Mills MD 21117-4096. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Fuller, Teresa can be contacted via phone (410) 526-7993.

Contact Information

Primary practice address
10084 Reisterstown Rd Ste 200B Owings Mills MD 21117-4096
Phone: (410) 526-7993
Fax: (410) 526-5144
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X D0058861 Maryland

Profile Details

NPI number 1073582193
LBN Legal business name Fuller, Teresa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Dec 21st, 2018 - about 8 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 1073582193 NPPES
Maryland MEDICAID 400185100

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