Fortin, Troy Reed
Fortin, Troy Reed is an sole proprietor health care provider with primary practice located at 6000 Medlock Bridge Pkwy Suite C-300, Johns Creek GA 30022-8172. He recently has 3 registered licenses in different health care specialties including Chiropractic Providers / Radiology, Chiropractic Providers / Sports Physician, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Fortin, Troy Reed can be contacted via phone (770) 476-9626.Contact Information
Primary practice address
6000 Medlock Bridge Pkwy Suite C-300
Johns Creek GA 30022-8172
Phone: (770) 476-9626
Fax: (770) 476-1310
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Radiology | 111NR0200X | 005857 | Georgia |
Chiropractic Providers / Sports Physician | 111NS0005X | 005857 | Georgia |
Chiropractic Providers / Chiropractor | 111N00000X | CHIRO005857 | Georgia |
Profile Details
NPI number | 1316001985 |
---|---|
LBN Legal business name | Fortin, Troy Reed |
Credentials | Doctor of Chiropractic (DC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 20th, 2006 |
Last updated | Aug 23rd, 2016 - about 8 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 | 1316001985 | NPPES |
Georgia | Other | 001296 | BCBS |
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