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:
Health care specialties
Specialty | Code | License # | 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 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 | 1639577026 | NPPES |
Ohio | MEDICAID | 0136731 |
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