Fortin, Celine Marie

Fortin, Celine Marie is an individual health care provider with primary practice located at 5 Dow Jones Ave , Nashua NH 03062-3089. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fortin, Celine Marie can be contacted via phone (603) 889-3667.

Contact Information

Primary practice address
5 Dow Jones Ave Nashua NH 03062-3089
Phone: (603) 889-3667
Fax: (603) 886-1805
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 040412-23-03 New Hampshire

Profile Details

NPI number 1932209517
LBN Legal business name Fortin, Celine Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2006
Last updated Sep 16th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1932209517 NPPES
New Hampshire MEDICAID 30340507

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