Fortson, Wilbert

Fortson, Wilbert is an individual health care provider with primary practice located at 9300 Valley Childrens Pl , Madera CA 93636-8761. He recently has only one registered license in Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine, which is considered as his primary health care specialty. Fortson, Wilbert can be contacted via phone (559) 353-5700.

Contact Information

Primary practice address
9300 Valley Childrens Pl Madera CA 93636-8761
Phone: (559) 353-5700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X 057459 Georgia
Allopathic & Osteopathic Physicians / Maternal & Fetal Medicine 207VM0101X A74703 California

Profile Details

NPI number 1942381223
LBN Legal business name Fortson, Wilbert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated May 13th, 2020 - about 4 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 1942381223 NPPES
California MEDICAID 1942381223

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