Fortson, Benjamin Dale

Fortson, Benjamin Dale is an individual health care provider with primary practice located at 15200 Shady Grove Rd Ste 102 , Rockville MD 20850-3218. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist is his primary health care specialty. Fortson, Benjamin Dale can be contacted via phone (240) 261-4229.

Contact Information

Primary practice address
15200 Shady Grove Rd Ste 102 Rockville MD 20850-3218
Phone: (240) 261-4229
Fax: (240) 261-4489
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X CO005694 Delaware
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X CPO04027 Delaware

Profile Details

NPI number 1497296537
LBN Legal business name Fortson, Benjamin Dale
Credentials MPO, CPO
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 8th, 2017
Last updated Apr 24th, 2018 - about 7 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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