Forti, Jean M

Forti, Jean M is an individual health care provider with primary practice located at 141 W Walters Dr , Grafton WI 53024-2243. She recently has only one registered license in Nursing Service Providers / Home Health, which is considered as her primary health care specialty. Forti, Jean M can be contacted via phone (262) 375-2474.

Contact Information

Primary practice address
141 W Walters Dr Grafton WI 53024-2243
Phone: (262) 375-2474
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Home Health 163WH0200X 83589-030 Wisconsin

Profile Details

NPI number 1659332617
LBN Legal business name Forti, Jean M
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Jul 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659332617 NPPES
Wisconsin MEDICAID 38345000

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