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FULLER REHABILITATION AND CONSULTING SERVICES INC. NPI 1316046758


NPI Information

NPI: 1316046758
Provider Name: FULLER REHABILITATION AND CONSULTING SERVICES INC.

Doing Business As: FULLER REHABILITATION

Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
1135 BELL RD
SUITE 316
ANTIOCH, TN
ZIP 37013
Phone: (615) 717-0202
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FULLER REHABILITATION AND CONSULTING SERVICES INC. is a customized equipment durable medical equipment medical supplies in Antioch, TN. FULLER REHABILITATION AND CONSULTING SERVICES INC. NPI is 1316046758. The provider is registered as an organization entity type.
The provider Is Doing Business As Fuller Rehabilitation.

The provider's business location address is:

1135 BELL RD
SUITE 316
ANTIOCH, TN
ZIP 37013-777
Phone: (615) 717-0202
Fax: (615) 717-0303

The provider's authorized official is Carter D. Fuller .
The authorized official title is President, Ceo and has the following contact phone number (706) 965-0352.

The enumeration date for this NPI number is 9/22/2006 and was last updated on 5/20/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332B00000XDurable Medical Equipment & Medical SuppliesTENNESSEENo
2332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentTENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
10952950018MEDICARE NSCTENNESSEE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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