Jeffery Fuller in Monroe - Emergency Medicine
Jeffery Fuller - NPI 1003827601
Jeffery Fuller is a Emergency Medicine in Monroe, Louisiana. Jeffery Fuller practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Jeffery Fuller is 1003827601. The last update date is 2007-07-08.
Jeffery Fuller's current location address is 4864 Jackson St, Monroe, Louisiana. You can contact this provider via phone number 3186757737 and fax number 3186755666. The mailing address for Jeffery Fuller is 4864 Jackson St, Monroe, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffery Fuller |
|---|---|
| Address | 4864 Jackson St, Monroe, Louisiana |
| Phone Number | 3186757737 |
| Fax Number | 3186755666 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1003827601 |
|---|---|
| Provider Enumeration Date | 2006-08-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4864 Jackson St |
|---|---|
| City | Monroe |
| State | Louisiana (LA) |
| Post Code | 712026400 |
| Phone Number | 3186757737 |
| Fax Number | 3186755666 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | 18474 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1357723 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jeffery Fuller by the Centers for Medicare & Medicaid Services (CMS)?
The Jeffery Fuller has been assigned the NPI (National Provider Identifier) 1003827601. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Jeffery Fuller?
The Jeffery Fuller is situated at 4864 Jackson St, in the city of Monroe, state of LA, with the zip code 712026400.
What is the Jeffery Fuller's specialty and taxonomy code?
The Jeffery Fuller's specialty is Emergency Medicine, and the corresponding taxonomy code is 207P00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1003827601 to Jeffery Fuller?
The Jeffery Fuller received its 1003827601 assignment from the Centers for Medicare & Medicaid Services on 2006-08-10.
As of what date were the Jeffery Fuller's details last updated?
The information pertaining to the Jeffery Fuller, including its address, specialty, and other details, was most recently updated on 2007-07-08.