JOSEPH L FULLER JR. (NPI# 1326283037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326283037 |
| Entity Type | Individual |
| Full Name | JOSEPH L FULLER JR. |
| Practice Address |
350 Interlocken Blvd Ste. 360 Broomfield CO 80021-3477 |
| Practice Telephone | 3033391499 |
| Enumeration Date | 2008-12-09 |
| Last Update Date | 2008-12-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZE0600X |
Specialist/Technologist, Other Specialization: Electroneurodiagnostic |
Technologists, Technicians & Other Technical Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235336967 | Joseph Edward Fuller | Chiropractor | 501 N Orlando Ave Ste 151, Winter Park, FL 32789-2997 | 2007-06-27 |
| 1811287816 | Joseph C. Fuller IIi | Radiology | 10700 E Geddes Ave Ste 200, Englewood, CO 80112-3861 | 2011-04-11 |
| 1376559351 | Joseph Edward Fuller Jr. | Family Medicine | 245 Rochester Hill Rd, Rochester, NH 03867-1775 | 2006-07-31 |
| 1053362194 | Joseph Bernard Fuller | Surgery | 1000 Langworthy St, Dubuque, IA 52001-7313 | 2006-05-13 |
| 1992770531 | Joseph Allan Fuller | Chiropractor | 2555 Cape Horn Rd, Red Lion, PA 17356-9057 | 2006-02-17 |
| Street Address |
350 INTERLOCKEN BLVD STE. 360 |
| City | BROOMFIELD |
| State | CO |
| Zip Code | 80021-3477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437338001 | Boulder Intraoperative Monitoring | Technician, Other | 350 Interlocken Blvd, Suite 360, Broomfield, CO 80021-3477 | 2007-10-30 |
| 1558819672 | Sandstone Care Colorado, LLC | Community/Behavioral Health | 350 Interlocken Blvd, Broomfield, CO 80021-3477 | 2016-09-18 |
| 1639567217 | Samantha Miller | Counselor | 350 Interlocken Blvd, Broomfield, CO 80021-3477 | 2015-01-05 |
| 1871838995 | Jonathan P Vanderhamm | Specialist/Technologist, Other | 350 Interlocken Blvd, Suite 360, Broomfield, CO 80021-3477 | 2012-11-29 |
| 1962751289 | Julianne E Bishop | Specialist/Technologist, Other | 350 Interlocken Blvd, Suite 360, Broomfield, CO 80021-3477 | 2012-08-31 |
| 1669733226 | James P Nutt | Specialist/Technologist, Other | 350 Interlocken Blvd, Suite 360, Broomfield, CO 80021-3477 | 2012-05-30 |
| 1023388816 | Kerstin Violet May-higgins | Specialist/Technologist, Other | 350 Interlocken Blvd, Ste 360, Broomfield, CO 80021-3477 | 2012-01-10 |
| 1467733527 | Brian Lamar Ponder | Specialist/Technologist, Other | 350 Interlocken Blvd, Ste 360, Broomfield, CO 80021-3477 | 2011-09-02 |
| 1093093445 | Adasha L. Turner | Specialist/Technologist, Other | 350 Interlocken Blvd, Suite 360, Broomfield, CO 80021-3477 | 2011-08-02 |
| 1063711620 | Haley Hinkle | Specialist/Technologist, Other | 350 Interlocken Blvd, Ste 360, Broomfield, CO 80021-3477 | 2011-03-22 |
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| 1871093138 | Samantha Ewing | Audiologist | 403 Summit Blvd., # 204, Broomfield, CO 80021 | 2018-02-13 |
| 1568978914 | Denver Recovery Center, LLC | Clinic/Center | 295 Interlocken Blvd Ste 400, Broomfield, CO 80021 | 2017-12-21 |
| 1730601477 | Elaine H Kim | Audiologist | 120 Edgeview Dr., Unit 6220, Broomfield, CO 80021 | 2017-07-14 |
| 1245605575 | Profound Fitness, LLC | Day Training, Developmentally Disabled Services | 7721 W 92nd Ave, Westminster, CO 80021 | 2015-12-11 |
| 1558785634 | Nichelle Francavilla Gurule | Chiropractor | 11336 W 104th Ave, Westminster, CO 80021 | 2014-02-10 |
| 1255770244 | Martha Ha | Dentist | 645 Flatiron Marketplace Dr Unit A, Broomfield, CO 80021 | 2013-06-23 |
| 1467737841 | Nathaniel Weidner | Pharmacist | 10350 Dover St. D28, Westminster, CO 80021 | 2011-10-17 |
| 1346475209 | Christine Marie Maren | Family Medicine | 8181 Arista Pl Unit 100, Broomfield, CO 80021 | 2009-05-21 |
| Find all providers in zip 80021 | ||||
| Taxonomy Code | 246ZE0600X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Electroneurodiagnostic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548792401 | Breanna Singleton | Specialist/Technologist, Other | 280 E 1st Ave Unit 727, Broomfield, CO 80038-2229 | 2017-03-30 |
| 1134556939 | Sns Technical Services, LLC | Specialist/Technologist, Other | 2205 W 136th Ave, Suite 106 #208, Broomfield, CO 80023-9306 | 2013-10-11 |
| 1720324254 | M'lynn Gilliam | Specialist/Technologist, Other | 350 Interlocken Blvd Ste 360, Broomfield, CO 80021-8006 | 2013-01-03 |
| 1306127618 | Kelly Robin Waterman | Specialist/Technologist, Other | 220 Flint Way, Broomfield, CO 80020-2250 | 2011-08-31 |
| 1871838995 | Jonathan P Vanderhamm | Specialist/Technologist, Other | 350 Interlocken Blvd, Suite 360, Broomfield, CO 80021-3477 | 2012-11-29 |
| 1962751289 | Julianne E Bishop | Specialist/Technologist, Other | 350 Interlocken Blvd, Suite 360, Broomfield, CO 80021-3477 | 2012-08-31 |
| 1669733226 | James P Nutt | Specialist/Technologist, Other | 350 Interlocken Blvd, Suite 360, Broomfield, CO 80021-3477 | 2012-05-30 |
| 1023388816 | Kerstin Violet May-higgins | Specialist/Technologist, Other | 350 Interlocken Blvd, Ste 360, Broomfield, CO 80021-3477 | 2012-01-10 |
| 1467733527 | Brian Lamar Ponder | Specialist/Technologist, Other | 350 Interlocken Blvd, Ste 360, Broomfield, CO 80021-3477 | 2011-09-02 |
| 1063711620 | Haley Hinkle | Specialist/Technologist, Other | 350 Interlocken Blvd, Ste 360, Broomfield, CO 80021-3477 | 2011-03-22 |
| Find all providers in BROOMFIELD | ||||
| City | BROOMFIELD |
| Zip Code | 80021 |
Please comment or provide details below to improve the information on JOSEPH L FULLER JR..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.