Fortner, Jodee Lynn
Fortner, Jodee Lynn is an sole proprietor health care provider with primary practice located at 941 Mitman Rd. , Easton PA 18040. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Fortner, Jodee Lynn can be contacted via phone (570) 801-5828.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT012945L | Pennsylvania |
Profile Details
NPI number | 1669435822 |
---|---|
LBN Legal business name | Fortner, Jodee Lynn |
Credentials | M.S.P.T. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 10th, 2006 |
Last updated | Jan 3rd, 2022 - about 3 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 | 1669435822 | NPPES |
Pennsylvania | MEDICAID | 100840782 | |
Pennsylvania | Other | 1963522 | |
Pennsylvania | Other | 652721 | |
Pennsylvania | Other | 30013755 |
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