Fortenberry, Ricardo Jose

Fortenberry, Ricardo Jose is an individual health care provider with primary practice located at 1306 Isabel Ct , Pittsburg CA 94565-2659. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Fortenberry, Ricardo Jose can be contacted via phone (510) 919-1302.

Contact Information

Primary practice address
1306 Isabel Ct Pittsburg CA 94565-2659
Phone: (510) 919-1302
Fax: (925) 439-7085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X OR 01-005785 California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X OR 01-005785 California

Profile Details

NPI number 1548450117
LBN Legal business name Fortenberry, Ricardo Jose
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated Mar 26th, 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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