Fortner, Melissa Joyann

Fortner, Melissa Joyann is an individual health care provider with primary practice located at 4290 Polk Ave , San Diego CA 92105-1524. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Fortner, Melissa Joyann can be contacted via phone (619) 563-0507.

Contact Information

Primary practice address
4290 Polk Ave San Diego CA 92105-1524
Fax: (619) 563-0015
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA15119 California

Profile Details

NPI number 1972584209
LBN Legal business name Fortner, Melissa Joyann
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jul 8th, 2007 - about 17 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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