Fortner, Laura K
Fortner, Laura K is an sole proprietor health care provider with primary practice located at 8401 Market St , Boardman OH 44512-6725. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Fortner, Laura K can be contacted via phone (330) 729-4350.Contact Information
Primary practice address
8401 Market St
Boardman OH 44512-6725
Phone: (330) 729-4350
Fax: (330) 729-4351
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 35077776 | Ohio |
Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 65672 | Wisconsin |
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 35077776 | Ohio |
Profile Details
NPI number | 1710973508 |
---|---|
LBN Legal business name | Fortner, Laura K |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 27th, 2005 |
Last updated | Jul 11th, 2023 - about 2 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 | 1710973508 | NPPES |
Ohio | MEDICAID | 2169442 |
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