Luck, Paige Fuller

Luck, Paige Fuller is an individual health care provider with primary practice located at 1260 N Arendell Ave , Zebulon NC 27597-8730. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Luck, Paige Fuller can be contacted via phone (919) 235-1965.

Contact Information

Primary practice address
1260 N Arendell Ave Zebulon NC 27597-8730
Phone: (919) 235-1965
Fax: (919) 235-1326
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-10432 North Carolina

Profile Details

NPI number 1437789807
LBN Legal business name Luck, Paige Fuller
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2020
Last updated Feb 5th, 2022 - about 4 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 1437789807 NPPES
North Carolina MEDICAID 1437789807

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