Fortune, Thomas P
Fortune, Thomas P is an individual health care provider with primary practice located at 101 Park Hill Drive , Fredericksburg VA 22401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Fortune, Thomas P can be contacted via phone (540) 371-3010.Contact Information
Primary practice address
101 Park Hill Drive
Fredericksburg VA 22401
Phone: (540) 371-3010
Fax: (540) 899-9821
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 010103908 | Virginia |
Profile Details
NPI number | 1134223274 |
---|---|
LBN Legal business name | Fortune, Thomas P |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 11th, 2006 |
Last updated | Nov 13th, 2008 - about 17 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 | 1134223274 | NPPES |
Virginia | MEDICAID | 006037402 | |
Virginia | Other | 110026872 | |
Virginia | Other | 00414802 | |
Virginia | Other | 094197 |
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