Fortner, Gary Dee
Fortner, Gary Dee is an sole proprietor health care provider with primary practice located at 1408 N Florence Ave , Claremore OK 74017-3159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fortner, Gary Dee can be contacted via phone (918) 341-1044.Contact Information
Primary practice address
1408 N Florence Ave
Claremore OK 74017-3159
Phone: (918) 341-1044
Fax: (918) 341-7443
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 12540 | Oklahoma |
Profile Details
| NPI number | 1891768289 |
|---|---|
| LBN Legal business name | Fortner, Gary Dee |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 8th, 2006 |
| Last updated | Dec 9th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891768289 | NPPES |
| Oklahoma | MEDICAID | 100150500A |
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