Fortune, John B

Fortune, John B is an individual health care provider with primary practice located at 750 E Adams St , Syracuse NY 13210-2306. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Fortune, John B can be contacted via phone (315) 464-1800.

Contact Information

Primary practice address
750 E Adams St Syracuse NY 13210-2306
Phone: (315) 464-1800
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 139794 New York
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X 139794 New York

Profile Details

NPI number 1861443673
LBN Legal business name Fortune, John B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jan 23rd, 2009 - about 16 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 1861443673 NPPES
New York MEDICAID 00849683

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