Jack McBryde Fuller
Counselor · Solon, OH
NPI number
1164193421
Practice location
33595 Bainbridge Rd Ste 101Solon, OH 44139-2981
- Phone
- (800) 642-4560
NPI record
- NPI
- 1164193421
- Entity type
- Individual (Type 1)
- Enumeration date
- September 25, 2021
- Last updated
- September 25, 2021
- Certified
- September 25, 2021
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X |
— | — |
Mailing address
7575 Water Fall TrlChagrin Falls, OH 44022-3965
- Phone
- (216) 296-1184
About Jack Fuller
Jack McBryde Fuller is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 33595 Bainbridge Rd Ste 101, Solon, OH 44139-2981. The NPI number 1164193421 was assigned on September 25, 2021 and the record was last updated on September 25, 2021.
Frequently asked questions
What is the NPI number of Jack McBryde Fuller?
The NPI number is 1164193421.
What is the phone number of Jack Fuller?
The phone number listed for the practice location is (800) 642-4560.
Where is Jack Fuller located?
33595 Bainbridge Rd Ste 101, Solon, OH 44139-2981.
What is the taxonomy code for Jack Fuller?
The primary taxonomy code is 101Y00000X – Counselor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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