DR. Jonathan Ellis Fuller M.D.

  • 1053314443 NPI Number
  • |
  • Actived: 14 years ago
  • |
According to our database, NPI number for DR. Jonathan Ellis Fuller M.D. is 1053314443 and actived since Tuesday, May 31 2005. DR. Jonathan Ellis Fuller M.D. is an individual provider specializes in Orthopaedic Surgery of the Spine, primary practice location is 13616 California St, Omaha, NE 68154. You can also contact DR. Jonathan Ellis Fuller M.D. via telephone number is (402) 496-0404. Provider NPI information was last updated on 01/28/2009.

Overview of DR. Jonathan Ellis Fuller M.D.

  • NPI number: 1053314443
  • Provider type: Individual
  • Specialty: Orthopaedic Surgery of the Spine
  • Gender: Male
  • Active since: 05/31/2005
  • Last updated: 01/28/2009

Provider Mailing Address

  • Address: 13616 California St
    Ste 100
    Omaha, NE 68154
  • Phone: 402-496-0404
  • Fax: 402-496-0517

Provider Practice Location

  • Address: 13616 California St
    Ste 100
    Omaha, NE 68154
  • Phone: 402-496-0404
  • Fax: 402-496-0517

Scope of Practice

  • Taxonomy Code: 207XS0117X
  • Specialty: Orthopaedic Surgery of the Spine
  • License Number: 20813
  • License State: NE
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 0511642
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: IA
  • Issuer:

Question & Answers

What is the npi number?

  • Q: What is the npi number for DR. Jonathan Ellis Fuller M.D.?
  • A: The npi number for DR. Jonathan Ellis Fuller M.D. is 1053314443.
  • Q: What are DR. Jonathan Ellis Fuller M.D.'s specialties?
  • A: DR. Jonathan Ellis Fuller M.D.'s specialties are Orthopaedic Surgery of the Spine and different specialities.
  • Q: What is the medical license for DR. Jonathan Ellis Fuller M.D.?
  • A: The medical license number for DR. Jonathan Ellis Fuller M.D. is 20813 and issued in NE in USA.
  • Q: Where is DR. Jonathan Ellis Fuller M.D. practice location?
  • A: DR. Jonathan Ellis Fuller M.D. is practicing at 13616 California St, Omaha, NE 68154.
  • Q: How to contact DR. Jonathan Ellis Fuller M.D.?
  • A: You can contact DR. Jonathan Ellis Fuller M.D. via 402-496-0404.

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