Fortson Family Care And Wellness Center

LBN: D L Fortson M D P C
Fortson Family Care And Wellness Center is an health care organization with primary practice located at 1950 45Th Ave Suite 100, Munster IN 46321-3917. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. D L Fortson M D P C can be contacted via phone (219) 924-9277, or through Fortson, Darryl L via phone (219) 924-9277.

Contact Information

Primary practice address
1950 45Th Ave Suite 100 Munster IN 46321-3917
Phone: (219) 924-9277
Fax: (219) 924-9281
Website:
Map and Directions
Authorized official contact:
Name: Fortson, Darryl L Doctor of Medicine (MD)
Phone: (219) 924-9277

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01037803 Indiana

Profile Details

NPI number 1184710428
LBN Legal business name D L Fortson M D P C
DBA Doing business as Fortson Family Care And Wellness Center
Authorized official Fortson, Darryl L Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 5th, 2006
Last updated Dec 3rd, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184710428 NPPES
Indiana Other 000000359839 ANTHEM, BC/BS PROVIDER

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