DOROTHY ILERT FULLER MBA NPI 1508545492

NPI Information

NPI: 1508545492
Provider Name: DOROTHY ILERT FULLER, MBA
Classification: Prosthetic/Orthotic Supplier - 335E00000X
Entity Type: Individual
Address:
9439 N SAYBROOK DR APT 228
FRESNO, CA
ZIP 93720
Phone: (615) 525-3523
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Dorothy Ilert Fuller, MBA is a prosthetic orthotic supplier in Fresno, CA. The provider is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. Dorothy Ilert Fuller, MBA NPI is 1508545492. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9439 N SAYBROOK DR APT 228
FRESNO, CA
ZIP 93720-636
Phone: (615) 525-3523

The enumeration date for this NPI number is 7/17/2023 and was last updated on 7/17/2023.

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
1	335E00000X	Prosthetic/Orthotic Supplier				Yes

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

NPI Synchronization or Removal

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