Fortna, Sandra Jane

Fortna, Sandra Jane is an individual health care provider with primary practice located at 1001 S George St Mkb 4Th Flr, York PA 17403-3676. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Fortna, Sandra Jane can be contacted via phone (717) 851-2417.

Contact Information

Primary practice address
1001 S George St Mkb 4Th Flr York PA 17403-3676
Fax: (717) 851-3712
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X MD043028L Pennsylvania

Profile Details

NPI number 1528022951
LBN Legal business name Fortna, Sandra Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Nov 10th, 2010 - about 15 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 1528022951 NPPES
New York Other 00025768502 UNIVERA
New York MEDICAID 0940183 UNIVERA
New York Other 1770316 UNIVERA
New York Other 733398 UNIVERA
New York MEDICAID 001406477 UNIVERA
New York Other 1071715 UNIVERA
New York Other 268092 UNIVERA
New York Other 1039836 UNIVERA
New York Other 949364 UNIVERA
New York Other 20089138 UNIVERA
New York Other 210777 UNIVERA
New York Other 313005 UNIVERA
New York Other P00440841 UNIVERA

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