Fortier, Ellen R
Fortier, Ellen R is an individual health care provider with primary practice located at 2191 9Th Ave N Suite 240, St Petersburg FL 33713-7146. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fortier, Ellen R can be contacted via phone (727) 821-7163.Contact Information
Primary practice address
2191 9Th Ave N Suite 240
St Petersburg FL 33713-7146
Phone: (727) 821-7163
Fax: (727) 822-6017
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA 0003227 | Florida |
Profile Details
NPI number | 1699754002 |
---|---|
LBN Legal business name | Fortier, Ellen R |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 13th, 2006 |
Last updated | Jul 8th, 2007 - about 18 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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