Fornarotto, John M
Fornarotto, John M is an sole proprietor health care provider with primary practice located at 246 N 18Th Ave , Pocatello ID 83201-3356. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Fornarotto, John M can be contacted via phone (208) 234-4100.Contact Information
Primary practice address
246 N 18Th Ave
Pocatello ID 83201-3356
Phone: (208) 234-4100
Fax: (208) 234-4192
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | M6417 | Idaho |
Profile Details
| NPI number | 1598750838 |
|---|---|
| LBN Legal business name | Fornarotto, John M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 13th, 2005 |
| Last updated | Nov 21st, 2008 - about 18 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 | 1598750838 | NPPES |
| Idaho | MEDICAID | 002738900 |
Popular Providers
-
Kilgore, Kenneth Merle
2943 Highway 62 W , Mountain Home AR 72653-6535 -
Hsei, Rex Chen
1665 Dominican Way Ste 124, Santa Cruz CA 95065-1528 -
Lawless, Charles Pittman
1777 East Clark Steet Suite 310, Pocatello ID 83201-3357 -
Patel, Rachna Dinubhai
17 N Medical Park Dr , Fishersville VA 22939-2344 -
Armesto, David M
2025 Technology Pkwy Ste 103, Mechanicsburg PA 17050-9400 -
Ryser, David F
2251 Dubois Dr , Warsaw IN 46580-3212 -
Nizam, Abdul R,
630 N Morley St Ste 101, Moberly MO 65270-2556 -
De Sabra, Ximena
5656 Bee Cave Rd Suite F 200, West Lake Hills TX 78746-5280