Fortman, Eugene John

Fortman, Eugene John is an sole proprietor health care provider with primary practice located at 1010 4Th St Sw Ste 300 , Mason City IA 50401-2856. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Fortman, Eugene John can be contacted via phone (641) 424-0301.

Contact Information

Primary practice address
1010 4Th St Sw Ste 300 Mason City IA 50401-2856
Phone: (641) 424-0301
Fax: (641) 424-0301
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 07746 Minnesota

Profile Details

NPI number 1073688792
LBN Legal business name Fortman, Eugene John
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2006
Last updated Mar 17th, 2018 - 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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