Fortenberry, Mark Elias

Fortenberry, Mark Elias is an individual health care provider with primary practice located at 10201 Kanis Rd , Little Rock AR 72205-6203. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Fortenberry, Mark Elias can be contacted via phone (501) 227-3800.

Contact Information

Primary practice address
10201 Kanis Rd Little Rock AR 72205-6203
Phone: (501) 227-3800
Fax: (501) 907-9750
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 282 Arkansas

Profile Details

NPI number 1487824900
LBN Legal business name Fortenberry, Mark Elias
Credentials M.S., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2008
Last updated Oct 21st, 2008 - about 17 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 1487824900 NPPES
Arkansas MEDICAID 1487824900

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