Fuller, Tonya F.

Fuller, Tonya F. is an individual health care provider with primary practice located at 600 Coffee Rd , Modesto CA 95355-4201. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Fuller, Tonya F. can be contacted via phone (209) 550-4785.

Contact Information

Primary practice address
600 Coffee Rd Modesto CA 95355-4201
Phone: (209) 550-4785
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X G140674 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036084191 Illinois
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036084191 Illinois

Profile Details

NPI number 1043304611
LBN Legal business name Fuller, Tonya F.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Feb 9th, 2021 - about 5 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 1043304611 NPPES
Illinois MEDICAID 036084191
Illinois Other 036084191

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