Fortgang, Jean M
Fortgang, Jean M is an sole proprietor health care provider with primary practice located at 3720 Davinci Ct , Norcross GA 30092-7627. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fortgang, Jean M can be contacted via phone (770) 582-3838.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN113594 NP | Georgia |
Profile Details
| NPI number | 1609926187 |
|---|---|
| LBN Legal business name | Fortgang, Jean M |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 10th, 2007 |
| Last updated | Jul 8th, 2007 - 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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