Fortman, Robert

Fortman, Robert is an individual health care provider with primary practice located at 1241 Shawhan Rd , Morrow OH 45152-9695. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Fortman, Robert can be contacted via phone (513) 865-5204.

Contact Information

Primary practice address
1241 Shawhan Rd Morrow OH 45152-9695
Phone: (513) 865-5204
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 223641 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 072814 Ohio

Profile Details

NPI number 1568460574
LBN Legal business name Fortman, Robert
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2005
Last updated Jun 27th, 2013 - about 12 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 1568460574 NPPES
Other 000000553250 ANTHEM
MEDICAID 2001032200 ANTHEM
MEDICAID 74009903 ANTHEM
MEDICAID 2544769 ANTHEM
Other 617574 ANTHEM

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