Fortner, Laura K

Fortner, Laura K is an sole proprietor health care provider with primary practice located at 8401 Market St , Boardman OH 44512-6725. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Obstetrics, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology. Allopathic & Osteopathic Physicians / Obstetrics & Gynecology is her primary health care specialty. Fortner, Laura K can be contacted via phone (330) 729-4350.

Contact Information

Primary practice address
8401 Market St Boardman OH 44512-6725
Phone: (330) 729-4350
Fax: (330) 729-4351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35077776 Ohio
Allopathic & Osteopathic Physicians / Obstetrics 207VX0000X 65672 Wisconsin
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 35077776 Ohio

Profile Details

NPI number 1710973508
LBN Legal business name Fortner, Laura K
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2005
Last updated Jul 11th, 2023 - about 3 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 1710973508 NPPES
Ohio MEDICAID 2169442

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