Fortner, Paula J.

Fortner, Paula J. is an individual health care provider with primary practice located at 225 E Main St , Logan OH 43138-1305. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Allopathic & Osteopathic Physicians / Emergency Medicine. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fortner, Paula J. can be contacted via phone (740) 380-9537.

Contact Information

Primary practice address
225 E Main St Logan OH 43138-1305
Phone: (740) 380-9537
Fax: (740) 380-1488
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 16625NP Ohio
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X APRN.CNP.16625 Ohio

Profile Details

NPI number 1639577026
LBN Legal business name Fortner, Paula J.
Credentials APRN-CNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2014
Last updated Sep 29th, 2023 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1639577026 NPPES
Ohio MEDICAID 0136731

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