Fortman, Christopher Joseph

Fortman, Christopher Joseph is an individual health care provider with primary practice located at 3477 S Dixie Hwy , Lima OH 45804-3755. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Fortman, Christopher Joseph can be contacted via phone (419) 331-2161.

Contact Information

Primary practice address
3477 S Dixie Hwy Lima OH 45804-3755
Phone: (419) 331-2161
Fax: (419) 227-7767
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 08532 Ohio

Profile Details

NPI number 1487779567
LBN Legal business name Fortman, Christopher Joseph
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2007
Last updated Dec 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487779567 NPPES
Ohio MEDICAID 2619143
Ohio Other 000000365466
Ohio Other 0812438

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