Fortner, Jay Nathan
Fortner, Jay Nathan is an sole proprietor health care provider with primary practice located at 8209 Genoa Avenue Suite 100, Lubbock TX 79424. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Fortner, Jay Nathan can be contacted via phone (806) 791-1481.Contact Information
Primary practice address
8209 Genoa Avenue Suite 100
Lubbock TX 79424
Phone: (806) 791-1481
Fax: (806) 791-1480
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | TX18583 | Texas |
Profile Details
| NPI number | 1568564359 |
|---|---|
| LBN Legal business name | Fortner, Jay Nathan |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 2nd, 2006 |
| Last updated | Mar 27th, 2013 - about 11 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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