Richard E Fuller in Brookfield - Adult Medicine
Richard E Fuller - NPI 1306841002
Richard E Fuller is a Adult Medicine in Brookfield, Wisconsin. Richard E Fuller practices all healthcare services and medical treatments related to Adult Medicine. The NPI Number for Richard E Fuller is 1306841002. The last update date is 2021-06-11.
Richard E Fuller's current location address is 17780 Versailles Ct, Brookfield, Wisconsin. You can contact this provider via phone number 2623891375. The mailing address for Richard E Fuller is 17780 Versailles Ct, Brookfield, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard E Fuller |
|---|---|
| Address | 17780 Versailles Ct, Brookfield, Wisconsin |
| Phone Number | 2623891375 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1306841002 |
|---|---|
| Provider Enumeration Date | 2005-06-17 |
| Last Updated Date | 2021-06-11 |
Provider Mailing Address Detail
| Address | 17780 Versailles Ct |
|---|---|
| City | Brookfield |
| State | Wisconsin (WI) |
| Post Code | 5304550260 |
| Phone Number | 2623891375 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Adult Medicine |
|---|---|
| Taxonomy | 207Qa0505X |
| Licence No | 32988-020 |
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Definition: The NUCC recommends this code not be used. Choose a more appropriate code. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 208000000X | WI | -- | |
| 31875900 | WI | -- | |
| 1306841002 | WI | BCBS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Richard E Fuller by the Centers for Medicare & Medicaid Services?
The Richard E Fuller has been assigned the NPI (National Provider Identifier) 1306841002 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete physical address where Richard E Fuller is located?
The Richard E Fuller is situated at the following address: 17780 Versailles Ct, Brookfield, WI, 5304550260.
What is Richard E Fuller's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Richard E Fuller is Adult Medicine, and the taxonomy classification code that categorizes this area of expertise is 207Qa0505X.
When did Richard E Fuller receive its 1306841002 assignment?
The Richard E Fuller was assigned its 1306841002 on 2005-06-17, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Richard E Fuller, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Richard E Fuller, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2021-06-11.