Shannon C Fuller in Bellingham - Specialist
Shannon C Fuller - NPI 1194853036
Shannon C Fuller is a Specialist in Bellingham, Washington. Shannon C Fuller practices all healthcare services and medical treatments related to Specialist. The NPI Number for Shannon C Fuller is 1194853036. The last update date is 2014-06-16.
Shannon C Fuller's current location address is 120 Prospect St Ste 1, Bellingham, Washington. You can contact this provider via phone number 3603038961 and fax number 3607344148. The mailing address for Shannon C Fuller is 120 Prospect St Ste 1, Bellingham, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon C Fuller |
|---|---|
| Address | 120 Prospect St Ste 1, Bellingham, Washington |
| Phone Number | 3603038961 |
| Fax Number | 3607344148 |
| Sole Proprietor | Y |
| Credentials | LMP |
NPI Number Detail
| NPI Number | 1194853036 |
|---|---|
| Provider Enumeration Date | 2007-03-01 |
| Last Updated Date | 2014-06-16 |
Provider Mailing Address Detail
| Address | 120 Prospect St Ste 1 |
|---|---|
| City | Bellingham |
| State | Washington (WA) |
| Post Code | 982254428 |
| Phone Number | 3603038961 |
| Fax Number | 3607344148 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | MA00017407 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identifier code assigned to Shannon C Fuller by the Centers for Medicare & Medicaid Services?
The Shannon C Fuller has been issued the NPI (National Provider Identifier) 1194853036 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Shannon C Fuller located?
The Shannon C Fuller is located at 120 Prospect St Ste 1, Bellingham, WA 982254428.
What is Shannon C Fuller's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Shannon C Fuller is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.
On what date did Shannon C Fuller receive its 1194853036 assignment from the Centers for Medicare & Medicaid Services?
The Shannon C Fuller was assigned its 1194853036 on 2007-03-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Shannon C Fuller, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Shannon C Fuller, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2014-06-16.