Fortson, Jayne S
Fortson, Jayne S is an sole proprietor health care provider with primary practice located at 2401 E 42Nd Ave Ste 301, Anchorage AK 99508-5205. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Fortson, Jayne S can be contacted via phone (907) 563-3204.Contact Information
Primary practice address
2401 E 42Nd Ave Ste 301
Anchorage AK 99508-5205
Phone: (907) 563-3204
Fax: (907) 563-4283
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2600 | Alaska |
Profile Details
| NPI number | 1932170297 |
|---|---|
| LBN Legal business name | Fortson, Jayne S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Mar 15th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932170297 | NPPES |
| Alaska | MEDICAID | MD2600 |
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