Fortkamp, Mary Elaine

Fortkamp, Mary Elaine is an sole proprietor health care provider with primary practice located at 1520 S Main St , Dayton OH 45409-2698. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Surgical Technologist, which is considered as her primary health care specialty. Fortkamp, Mary Elaine can be contacted via phone (937) 223-1279.

Contact Information

Primary practice address
1520 S Main St Dayton OH 45409-2698
Phone: (937) 223-1279
Fax: (937) 223-9979
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Technologist 246ZS0410X 027735 Ohio

Profile Details

NPI number 1427298793
LBN Legal business name Fortkamp, Mary Elaine
Credentials Certified Surgical Technologist (CST)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 26th, 2009
Last updated Feb 26th, 2009 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427298793 NPPES
Ohio Other 068880307-12 MEDICARE

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