Fortier, Brian A
Fortier, Brian A is an individual health care provider with primary practice located at 60Mdg 101 Bodin Circle, Travis Afb CA 94535. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fortier, Brian A can be contacted via phone (707) 423-5168.Contact Information
Primary practice address
60Mdg 101 Bodin Circle
Travis Afb CA 94535
Phone: (707) 423-5168
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LC11711 | Maine |
Profile Details
| NPI number | 1740377167 |
|---|---|
| LBN Legal business name | Fortier, Brian A |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 6th, 2006 |
| Last updated | Jul 23rd, 2019 - about 5 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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