Fuller, Tracey

Fuller, Tracey is an individual health care provider with primary practice located at 1600 W Campbell Ave Suite 201, Campbell CA 95008-1526. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Other Service Providers / Case Manager/Care Coordinator. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Fuller, Tracey can be contacted via phone (408) 871-4900.

Contact Information

Primary practice address
1600 W Campbell Ave Suite 201 Campbell CA 95008-1526
Phone: (408) 871-4900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X California
Other Service Providers / Case Manager/Care Coordinator 171M00000X California

Profile Details

NPI number 1851839336
LBN Legal business name Fuller, Tracey
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2017
Last updated May 4th, 2017 - about 9 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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