Fortune, Taryn

Fortune, Taryn is an individual health care provider with primary practice located at 5454 Wisconsin Ave Suite 1720, Chevy Chase MD 20815-6901. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Fortune, Taryn can be contacted via phone (301) 562-7200.

Contact Information

Primary practice address
5454 Wisconsin Ave Suite 1720 Chevy Chase MD 20815-6901
Phone: (301) 562-7200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TRN17513 Florida
Allopathic & Osteopathic Physicians / Neurology 2084N0400X D0071330 Maryland

Profile Details

NPI number 1659572089
LBN Legal business name Fortune, Taryn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2007
Last updated Nov 26th, 2012 - about 13 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 1659572089 NPPES
Maryland Other D0071330 STATE MEDICAL LICENSE

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