Fortney, Richard

Fortney, Richard is an individual health care provider with primary practice located at 2060 W 24Th St , Yuma AZ 85364-6123. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fortney, Richard can be contacted via phone (928) 539-3082.

Contact Information

Primary practice address
2060 W 24Th St Yuma AZ 85364-6123
Phone: (928) 539-3082
Fax: (928) 539-5579
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1549 Arizona

Profile Details

NPI number 1376563999
LBN Legal business name Fortney, Richard
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Feb 24th, 2014 - about 11 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 1376563999 NPPES
Other 1043324932 CLINIC NPI
Other 1245344316 CLINIC NPI
Other 1063433720 CLINIC NPI
Other 1962507376 CLINIC NPI
MEDICAID 162355 CLINIC NPI

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