Fortner, Christopher Neil

Fortner, Christopher Neil is an individual health care provider with primary practice located at 750 E Adams St , Syracuse NY 13210-2342. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pulmonology, which is considered as his primary health care specialty. Fortner, Christopher Neil can be contacted via phone (315) 464-5450.

Contact Information

Primary practice address
750 E Adams St Syracuse NY 13210-2342
Fax: (315) 464-6322
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 110562 North Carolina
Allopathic & Osteopathic Physicians / Pediatric Pulmonology 2080P0214X 263942 New York

Profile Details

NPI number 1104084078
LBN Legal business name Fortner, Christopher Neil
Credentials MD, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2008
Last updated Aug 31st, 2012 - about 14 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 1104084078 NPPES
New York MEDICAID 03437170

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