MARCUS MITCHELL FULLER LAC LMT MACOM NPI 1780157040

NPI Information

NPI: 1780157040
Provider Name: MARCUS MITCHELL FULLER, LAC , LMT, MACOM
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
300 N WILLSON AVE STE 2003
BOZEMAN, MT
ZIP 59715
Phone: (406) 577-2168
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Marcus Mitchell Fuller, LAC , LMT, MACOM is an acupuncturist in Bozeman, MT. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. Marcus Mitchell Fuller, LAC , LMT, MACOM NPI is 1780157040. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

300 N WILLSON AVE STE 2003
BOZEMAN, MT
ZIP 59715-597
Phone: (406) 577-2168

The enumeration date for this NPI number is 1/9/2019 and was last updated on 1/9/2019.

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	171100000X	Acupuncturist		MED-ACU-LIC-70143	MONTANA	Yes
2	171100000X	Acupuncturist		138929	ALASKA	No

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: 11/14/2023

NPI Synchronization or Removal

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