Fortune, James Albert

Fortune, James Albert is an individual health care provider with primary practice located at 20225 E 9 Mile Rd Suite A, Saint Clair Shores MI 48080-1775. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fortune, James Albert can be contacted via phone (596) 779-8700.

Contact Information

Primary practice address
20225 E 9 Mile Rd Suite A Saint Clair Shores MI 48080-1775
Phone: (596) 779-8700
Fax: (586) 498-1425
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301043464 Michigan

Profile Details

NPI number 1558322818
LBN Legal business name Fortune, James Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Sep 19th, 2012 - about 12 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 1558322818 NPPES
Michigan MEDICAID 2121462

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