Fortkort, Peter Thomas

Fortkort, Peter Thomas is an individual health care provider with primary practice located at 300 W 27Th St , Lumberton NC 28358-3075. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Fortkort, Peter Thomas can be contacted via phone (910) 671-5220.

Contact Information

Primary practice address
300 W 27Th St Lumberton NC 28358-3075
Fax: (910) 272-1437
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 9500577 North Carolina
Other Service Providers / Specialist 174400000X 95-00577 North Carolina

Profile Details

NPI number 1649362138
LBN Legal business name Fortkort, Peter Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Aug 22nd, 2019 - about 6 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 1649362138 NPPES
North Carolina MEDICAID 5300138
North Carolina MEDICAID N00579
North Carolina MEDICAID 1649362138

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