Fortson, Beatrice Monette
Fortson, Beatrice Monette is an sole proprietor health care provider with primary practice located at 2545 Sheridan Dr , Tonawanda NY 14150-9478. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Fortson, Beatrice Monette can be contacted via phone (716) 833-4884.Contact Information
Primary practice address
2545 Sheridan Dr
Tonawanda NY 14150-9478
Phone: (716) 833-4884
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 015190 | New York |
Profile Details
| NPI number | 1104056795 |
|---|---|
| LBN Legal business name | Fortson, Beatrice Monette |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 17th, 2009 |
| Last updated | Jul 17th, 2009 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104056795 | NPPES |
| New York | Other | 015190 | NEW YORK STATE LICENSE |
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