Fortin, Daniel Patric
Fortin, Daniel Patric is an sole proprietor health care provider with primary practice located at 1003 E Freeway Dr Se , Conyers GA 30094-5927. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Fortin, Daniel Patric can be contacted via phone (770) 760-0060.Contact Information
Primary practice address
1003 E Freeway Dr Se
Conyers GA 30094-5927
Phone: (770) 760-0060
Fax: (770) 760-0409
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 1411 | Georgia |
Profile Details
| NPI number | 1942486501 |
|---|---|
| LBN Legal business name | Fortin, Daniel Patric |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 14th, 2008 |
| Last updated | Mar 3rd, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942486501 | NPPES |
| Georgia | Other | P00395570 | MEDICARE RAILROAD |
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