Individual
MR. IVORY FULLER SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
29100 LORIKAY ST, FARMINGTON HILLS, MI 48334-2842
(313) 772-0027
Mailing address
29100 LORIKAY ST, FARMINGTON HILLS, MI 48334-2842
(313) 772-0027
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
3501002891
MI
237600000X
Audiologist-Hearing Aid Fitter
3501002891
—
237700000X
Hearing Instrument Specialist
Primary
3501002891
MI
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us