Fortman, Jared R
Fortman, Jared R is an sole proprietor health care provider with primary practice located at 1100 Sonoma Ave Ste B, Santa Rosa CA 95405. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Fortman, Jared R can be contacted via phone (707) 527-9170.Contact Information
Primary practice address
1100 Sonoma Ave Ste B
Santa Rosa CA 95405
Phone: (707) 527-9170
Fax: (707) 527-0255
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 51826 | California |
Profile Details
| NPI number | 1922193838 |
|---|---|
| LBN Legal business name | Fortman, Jared R |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Aug 5th, 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.
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