Fortman, Craig William

Fortman, Craig William is an individual health care provider with primary practice located at 2030 Stringtown Rd Ste 210 , Grove City OH 43123-3993. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Fortman, Craig William can be contacted via phone (614) 544-0050.

Contact Information

Primary practice address
2030 Stringtown Rd Ste 210 Grove City OH 43123-3993
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 34.011726 Ohio
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34-011726 Ohio

Profile Details

NPI number 1073889903
LBN Legal business name Fortman, Craig William
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2012
Last updated Jan 25th, 2022 - about 3 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 1073889903 NPPES
Ohio MEDICAID 0126633

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