Fortune, Gary
Fortune, Gary is an sole proprietor health care provider with primary practice located at 373 S Willow St Ste 266 , Manchester NH 03103-5751. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Fortune, Gary can be contacted via phone (877) 315-8080.Contact Information
Primary practice address
373 S Willow St Ste 266
Manchester NH 03103-5751
Phone: (877) 315-8080
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1447729504 |
|---|---|
| LBN Legal business name | Fortune, Gary |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 19th, 2018 |
| Last updated | Dec 1st, 2019 - about 6 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 | 1447729504 | NPPES |
| Florida | Other | RBT-18-70933 | REGISTERED BEHAVIOR TECHNICIAN |
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