Fortney, John L

Fortney, John L is an individual health care provider with primary practice located at 4439 State Route 159 Ste G10, Chillicothe OH 45601-8207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as his primary health care specialty. Fortney, John L can be contacted via phone (740) 779-4300.

Contact Information

Primary practice address
4439 State Route 159 Ste G10 Chillicothe OH 45601-8207
Fax: (740) 779-4390
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 35046995 Ohio

Profile Details

NPI number 1841284247
LBN Legal business name Fortney, John L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Jun 15th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1841284247 NPPES
Ohio MEDICAID 0502914

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