Mr Ivory Fuller Sr, is a
Hearing Instrument Specialist based in Farmington Hills, Michigan. Mr Ivory Fuller Sr is licensed to practice in Michigan (license number 3501002891) and his current practice location is
29100 Lorikay St, Farmington Hills, Michigan. He can be reached at his office (for appointments etc.) via phone at
(313) 772-0027.
NPI number for Mr Ivory Fuller Sr is 1326465048 and his current mailing address is 29100 Lorikay St, Farmington Hills, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326465048.
Healthcare Provider's Profile
Full Name | Mr Ivory Fuller Sr |
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Gender | Male |
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Speciality | Hearing Instrument Specialist |
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Location | 29100 Lorikay St, Farmington Hills, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1326465048
- Provider Enumeration Date: 03/19/2014
- Last Update Date: 03/19/2014
Medical Identifiers
Medical identifiers for Mr Ivory Fuller Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326465048 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
231H00000X | Audiologist | 3501002891 (Michigan) | Secondary |
237600000X | Audiologist-hearing Aid Fitter | 3501002891 (* (Not Available)) | Secondary |
237700000X | Hearing Instrument Specialist | 3501002891 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Ivory Fuller Sr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Ivory Fuller Sr, 29100 Lorikay St, Farmington Hills, MI 48334-2842 Ph: (313) 772-0027 | Mr Ivory Fuller Sr, 29100 Lorikay St, Farmington Hills, MI 48334-2842 Ph: (313) 772-0027 |
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