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Contact Information

MAX FULLER
101 BARENABA LN
HILO, HI96720-4217
 Phone: 608-504-1143
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nutritionist

133N00000X
Indicates primary specialty

NPI Profile & details for MAX FULLER · (Male)

NPI Number 1598536914
Status Active
Credentials
Entity Individual
Enumeration date 01/15/2024
Last updated 01/15/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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