Fortin, Claude J

Fortin, Claude J is an individual health care provider with primary practice located at 800 N. 1St Street , Springfield IL 62702. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Fortin, Claude J can be contacted via phone (217) 528-7541.

Contact Information

Primary practice address
800 N. 1St Street Springfield IL 62702
Phone: (217) 528-7541
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 036-067171 Illinois
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01033169A Indiana

Profile Details

NPI number 1235225780
LBN Legal business name Fortin, Claude J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Nov 15th, 2022 - about 2 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 1235225780 NPPES
Illinois MEDICAID 036067171

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