Fullner, Jonathan Daniel

Fullner, Jonathan Daniel is an sole proprietor health care provider with primary practice located at 350 W Thomas Rd , Phoenix AZ 85013-4409. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Fullner, Jonathan Daniel can be contacted via phone (602) 406-7783.

Contact Information

Primary practice address
350 W Thomas Rd Phoenix AZ 85013-4409
Phone: (602) 406-7783
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 6773 Nebraska
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 54143 Arizona
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 28782 Nebraska
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 54143 Arizona

Profile Details

NPI number 1427310523
LBN Legal business name Fullner, Jonathan Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 13th, 2012
Last updated Mar 17th, 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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