Fortunato, Anthony Leonard

Fortunato, Anthony Leonard is an individual health care provider with primary practice located at 3300 Main St 3Rd Fl Suite C&D, Springfield MA 01107-1112. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Fortunato, Anthony Leonard can be contacted via phone (413) 794-5600.

Contact Information

Primary practice address
3300 Main St 3Rd Fl Suite C&D Springfield MA 01107-1112
Phone: (413) 794-5600
Fax: (413) 794-7297
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 155076 Massachusetts

Profile Details

NPI number 1386876126
LBN Legal business name Fortunato, Anthony Leonard
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2009
Last updated Apr 10th, 2017 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386876126 NPPES
Massachusetts MEDICAID 110084126A

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