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
Phone: (910) 671-5220
Fax: (910) 272-1437
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1649362138 | NPPES |
North Carolina | MEDICAID | 5300138 | |
North Carolina | MEDICAID | N00579 | |
North Carolina | MEDICAID | 1649362138 |
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