Fortsch, Jerilyn
Fortsch, Jerilyn is an sole proprietor health care provider with primary practice located at 105 Catherine St , East Northport NY 11731-1001. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Fortsch, Jerilyn can be contacted via phone (631) 681-1101.Contact Information
Primary practice address
105 Catherine St
East Northport NY 11731-1001
Phone: (631) 681-1101
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 012147-01 | New York |
Profile Details
| NPI number | 1336451483 |
|---|---|
| LBN Legal business name | Fortsch, Jerilyn |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2010 |
| Last updated | Jul 6th, 2010 - about 15 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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