SearchOhio172A00000X

Ebay Fuller

NPI 1487408027 · on the registry since 2024

Practice

Address
4403 E 143rd St
Cleveland, OH 44128
Phone
(216) 894-1548

Registry record

Primary taxonomy
172A00000X
172A00000X
Licence states on file
OH
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio