Fortin, Joseph D

Fortin, Joseph D is an individual health care provider with primary practice located at 9502 Lima Road Ste 103, Fort Wayne IN 46818-9270. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Fortin, Joseph D can be contacted via phone (260) 459-7313.

Contact Information

Primary practice address
9502 Lima Road Ste 103 Fort Wayne IN 46818-9270
Phone: (260) 459-7313
Fax: (260) 436-0628
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 02001553A Indiana
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 02001553A Indiana

Profile Details

NPI number 1841292612
LBN Legal business name Fortin, Joseph D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2005
Last updated Oct 18th, 2017 - about 7 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 1841292612 NPPES
Indiana MEDICAID 200024910A
Indiana Other 250008768

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