Fullerton, Heather Denkhaus

Fullerton, Heather Denkhaus is an individual health care provider with primary practice located at 302 University Blvd , Round Rock TX 78665-1032. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Fullerton, Heather Denkhaus can be contacted via phone (512) 509-0200.

Contact Information

Primary practice address
302 University Blvd Round Rock TX 78665-1032
Phone: (512) 509-0200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 200301355 North Carolina
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X L6029 Texas

Profile Details

NPI number 1457379802
LBN Legal business name Fullerton, Heather Denkhaus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Dec 7th, 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 1457379802 NPPES
Other 576657 CIGNA
Other 1354G CIGNA
Other 198455 CIGNA
Other P00315775 CIGNA
Other 806538 CIGNA
Other 2300598 CIGNA
Other 77686389 CIGNA
MEDICAID 891354G CIGNA

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