Fort, Joel A

Fort, Joel A is an individual health care provider with primary practice located at 2214 Canterbury Dr Suite 210, Hays KS 67601-2375. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Fort, Joel A can be contacted via phone (785) 623-5806.

Contact Information

Primary practice address
2214 Canterbury Dr Suite 210 Hays KS 67601-2375
Fax: (785) 623-2343
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 04-26523 Kansas

Profile Details

NPI number 1477529246
LBN Legal business name Fort, Joel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2006
Last updated Dec 16th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477529246 NPPES
Kansas MEDICAID 100303340B

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