Fortenberry, Jerry Matthew
Fortenberry, Jerry Matthew is an sole proprietor health care provider with primary practice located at 1800 Highway 45 N , Columbus MS 39705-2110. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Fortenberry, Jerry Matthew can be contacted via phone (662) 327-6138.Contact Information
Primary practice address
1800 Highway 45 N
Columbus MS 39705-2110
Phone: (662) 327-6138
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Pharmacy Service Providers / Pharmacist | 183500000X | E6839 | Mississippi |
Profile Details
| NPI number | 1952691487 |
|---|---|
| LBN Legal business name | Fortenberry, Jerry Matthew |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2011 |
| Last updated | Apr 18th, 2011 - about 15 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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